A nurse finds that a burn patient’s urine output assessment is not meeting expected goals. Which action best reflects appropriate nursing judgment for low urine output?

A nurse finds that a burn patient’s urine output assessment is not meeting expected goals. Which action best reflects appropriate nursing judgment for low urine output?

• A. Document as expected
• B. Increase IV fluids
• C. Notify provider about low urine output
• D. Discontinue catheter

Answer: (C)

Urine output in burn patients is a key indicator of intravascular volume and renal perfusion during resuscitation. When output falls below the expected goal, the most important step is to alert the provider so assessment and potential adjustment of fluid strategy or other interventions can be made. The nurse should first verify there isn't a simple mechanical issue—check catheter patency, kinks in the tubing, and that the drainage bag is positioned correctly—but if the low output persists, escalation is required. Increasing IV fluids or discontinuing the catheter without orders can cause harm; only the provider can determine the appropriate next actions based on the overall clinical picture.

Urine output in burn patients is a key indicator of intravascular volume and renal perfusion during resuscitation. When output falls below the expected goal, the most important step is to alert the provider so assessment and potential adjustment of fluid strategy or other interventions can be made. The nurse should first verify there isn't a simple mechanical issue—check catheter patency, kinks in the tubing, and that the drainage bag is positioned correctly—but if the low output persists, escalation is required. Increasing IV fluids or discontinuing the catheter without orders can cause harm; only the provider can determine the appropriate next actions based on the overall clinical picture.