Temperature: 96.9 F (36.1 C) measured via internal probe via urinary catheter. Heart rate: 128 beats/minute, sinus tachycardia (ST). Respirations: 14 breaths/minute. Blood pressure: 90/79 mm Hg, pulse pressure less than 40 mm Hg. Oxygen saturation: 100% on 40% fraction of inspired oxygen (FiO2). IV fluid bolus given as prescribed. The client’s surgical dressing is clean and dry. Ecchymosis is noted on the abdomen around the dressing. The client has a peripheral intravenous (PIV) line in the right forearm and one in the left hand. The client also has a right subclavian central venous catheter infusing propofol and intravenous fluids. Heart sounds are regular. The skin is pink. Capillary refill is 6 seconds. Radial pulses are equal bilaterally. Lung sounds are clear and equal bilaterally. The client has an indwelling urinary catheter in place. No urine is noted. The client has no visitors at this time. The social worker is attempting to contact family members. The client opens her eyes to verbal stimuli and follows verbal commands. Based on these observations, what is the most appropriate nursing action?