A 52-year-old man with type 2 diabetes and a recent stroke is on the rehabilitation unit recovering strength on his left side. He has an indwelling urinary catheter and is on a mechanical soft diet with thickened liquids due to a mild swallow deficit. Over the last 8-hour shift, the LPN records oral intake of 900 mL, IV fluids of 250 mL, and catheter output of 300 mL. The client's weight has increased 2 kg since admission 3 days ago, and he has voided no additional urine outside the catheter bag. What should the LPN do first?
- Estimate the oral intake amount since the client ate most of his tray and continue routine care.
- Independently change the client's diet order to restrict fluids until the weight gain resolves.
- Total and record all intake and output sources, then report the imbalance and weight gain to the RN.
- Continue the current plan of care without action since the catheter is draining and appears patent.