The nurse is assessing a client who is 12 hours postoperative for the removal of a benign pituitary brain tumor and has been placed in a drug induced coma with normal saline 0.9% infusing at 125 mL/hr. The client’s heart rate is 90 beats/minute, blood pressure 100/60 mmHg, and the indwelling urinary catheter has drained 250 mL of pale yellow urine in the last 30 minutes into the collection bag. After reporting these findings to the healthcare provider, which action should the nurse implement?

– Identify the underlying cause of this condition.
– Prepare to administer desmopressin (DDAVP).
– Decrease the intravenous fluids to a maintenance rate.
– Replace fluid losses with D5W every shift.

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