Physiological AdaptationQuestion 421 of 2368
One hour after a catheter insertion, the nurse finds that the client has produced 20 mL of urine in the past hour. What should the nurse do first?
- Check the tubing for kinking and obstruction
- Remove the catheter and insert a larger one
- Increase the height of the drainage bag above the bladder
- Document the finding as expected urine output
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Correct answer: Check the tubing for kinking and obstruction
Output of at least 30 mL per hour is expected. Low output first calls for checking the tubing, then notifying the provider if there is no change.
Source: Nursing Skills, 2nd edition (Open RN, Chippewa Valley Technical College, 2023), Facilitation of Elimination: Life Span Considerations. Licensed under CC BY 4.0.
Practice the topic "Physiological Adaptation"Questions last reviewed: 18 October 2026