What assessment finding is concerning for a client receiving intravenous therapy?

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A urine output of 30 mL over two hours raises a significant concern for a client receiving intravenous therapy. This finding indicates a potential issue with kidney function or fluid balance. Normal urine output is typically about 30 mL per hour, so a total of 30 mL over two hours falls below this benchmark, suggesting the client may be experiencing inadequate renal perfusion or dehydration. It may also indicate that the body is retaining fluid due to potential heart failure or other complications related to intravenous therapy.

In contrast, stable blood pressure is generally considered a positive sign, indicating that the client’s hemodynamic status is stable and may not be experiencing significant fluid volume overload or deficit. An increase in heart rate could potentially signal an adverse reaction or the body’s response to fluid status changes, but it must be assessed in the context of other vitals and symptoms. Lastly, an intake of 1000 mL of fluid might not inherently be concerning, especially if it aligns with what the client needs according to their treatment plan; it could indicate adequate hydration rather than a problem.

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