A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8 hr period. The child weighs 33 lb. Which of the following actions should the nurse take?

A. The child's urine output is 160 mL over 8 hours, which is within the normal expected output for the child (roughly 1-2 mL/kg/hr). Therefore, continuing to monitor without taking further action would be appropriate given the client’s urine output is adequate. B. Providing oral rehydration fluids may not address the underlying cause of oliguria. C. Performing a bladder scan may help assess for retention, but the primary action is to notify the provider. D. The client’s urine output is within the normal ranges hence the correct action is to continue monitoring.