A medical-surgical nurse completes the admission assessment on a client diagnosed with a urinary tract infection. The client’s admitting weight is 165 lb (74.8 kg). The vital signs are: temperature 96°F (35.6°C), pulse 110 beats per minute, respirations 20 per minute, and blood pressure 88/56 mm Hg. The client received 3 L of normal saline in the emergency department. The total urine output for the past 2 hours was 20 mL via a urinary drainage system. Which intervention would the nurse recommend to the primary health care provider?

1. Temperature of 96°F (35.6°C): This is below the normal range, indicating hypothermia. The nurse may recommend warming measures such as blankets or increasing the room temperature.

2. Low blood pressure of 88/56 mm Hg: This indicates hypotension, which could be due to dehydration or sepsis. Given that the client received 3 L of normal saline but still has a low urine output, the nurse may recommend further fluid resuscitation or intravenous medications to support blood pressure.

3. Low urine output of 20 mL over 2 hours: This is significantly below the normal urine output range of 30-60 mL per hour. The nurse may recommend monitoring closely for signs of renal impairment or acute kidney injury and considering additional interventions such as diuretics or renal function tests.

Overall, based on the client's presentation, the nurse may recommend to the primary healthcare provider to reassess the client's fluid status, consider additional fluid resuscitation or medications to support blood pressure, and closely monitor renal function and urine output.