Acute and Chronic Renal Failure · NCLEX Exam

What should the nurse's first action be upon noting a patient’s urine output of 100 mL in 8 hours?

  1. Increase IV fluids
  2. Notify the physician
  3. Check for bladder distention
  4. Document and continue monitoring
Show answer and explanation

Correct answer: Check for bladder distention

Oliguria may result from urinary retention; assessment for bladder distention is a critical first step.

Difficulty: Medium Question 13 of 20

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