Medical-surgical I

A patient's urine output has continued to fall over three days despite adequate recorded intake and a stable blood pressure, his weight has climbed, and he is increasingly breathless. Which nursing action does this evaluation support?

• AContinue the present plan and reassess in another twenty-four hours
• BIncrease the intravenous fluid rate to encourage urine production
• CRestrict the patient to bed rest and repeat the weight in the morning
• DEscalate promptly, reporting the full multi-day trend of falling output, rising weight, and worsening congestion