Question

The client is one day postoperative AAA repair. Which information from the UAP would require immediate intervention from the nurse?

a. The client refuses to turn from the back to the side.
b. The client's UO is 90 mL in 6 hours.
c. The client wants to sit on the side of the bed.
d. The client's vital signs are T 98, P 90, R 18, and BP 130/70.

Answer 1

This information indicates a significantly low urine output, requiring immediate nursing intervention to assess and address potential complications such as inadequate renal perfusion or renal insufficiency postoperatively. b. Therefore the correct option is b. The client's UO is 90 mL in 6 hours.

Step-by-step explanation:

The information from the Unlicensed Assistive Personnel (UAP) that requires immediate intervention from the nurse is option (b) – the client's urinary output (UO) being 90 mL in 6 hours. This is a significantly low urine output, which may indicate inadequate renal perfusion or potential complications such as renal insufficiency. Monitoring and addressing urine output promptly is crucial to prevent complications and ensure adequate renal function postoperatively.

A decreased urinary output can be indicative of hypovolemia, impaired kidney function, or other postoperative complications. It is vital for the nurse to assess the client's fluid status, closely monitor renal function, and intervene promptly to optimize urinary output. This information requires immediate attention to prevent further complications and promote the client's recovery.

In summary, option (b) is the most critical piece of information from the UAP that requires immediate nursing intervention. Monitoring and maintaining appropriate urinary output is essential for the early detection of potential complications and ensuring the client's postoperative well-being.Therefore the correct option is b. The client's UO is 90 mL in 6 hours.