How should the nurse address oliguria in a client suspected of hypovolemic shock?

The choice to notify the healthcare provider when addressing oliguria in a client suspected of hypovolemic shock is crucial because it initiates a prompt assessment and intervention process. Oliguria, defined as a urine output of less than 0.5 mL/kg/hr, is a significant indicator of potential kidney impairment and may signal severe dehydration or compromised perfusion to vital organs.

In the context of hypovolemic shock, where there is reduced blood volume affecting circulation, it is imperative to alert the healthcare provider so that they can evaluate the patient's status and possibly implement interventions such as intravenous fluid resuscitation or other medical therapies. This communication ensures the client receives timely and appropriate care to address not only the oliguria but also the underlying causes related to fluid volume status.

Although increasing fluid administration and monitoring vital signs are also essential components in managing a client in shock, these actions should be directed by a healthcare provider's orders, particularly when there are complications such as oliguria. Encouraging increased oral intake is not typically appropriate in a client experiencing hypovolemic shock, as they may be unstable and in need of more immediate, controlled fluid resuscitation.