مريض وزنه ٧٠ كغ بعد عملية في البطن، كمية البول في آخر ٣ ساعات: ٢٥ ثم ٢٠ ثم ١٥ مل. ما الإجراء المناسب؟

A 70-kg client after abdominal surgery has urine outputs of 25, then 20, then 15 mL over the last 3 hours. What is the appropriate action?

1. Document the readings, as low output is normal after surgery
2. Flush the catheter with saline without informing anyone
3. Encourage oral water and reassess tomorrow morning
4. Notify the provider, as output is under 0.5 mL/kg/h

Answer: D) Notify the provider, as output is under 0.5 mL/kg/h. The minimum acceptable output is 0.5 mL/kg/h, 35 mL/h for a 70-kg client, and these readings are below that and falling, suggesting hypovolaemia or acute kidney injury. Checking the catheter is reasonable, but alongside reporting, not instead of it.