SOLVED1109

The nurse reviews the information received in the report and enters the client’s room to perform a physical assessment. Upon assessment, the client is alert and oriented to person, place, time, and event. Pupils are equal, round, reactive to light, and accommodation. Lung sounds are equal bilaterally, with no adventitious Jung sounds present. $1 $2 heart tones noted. All pulses palpable. Client continues to rate pain in the right lower extremity as a 6 on a 0 to 10 pain scale. Active range of motion in bilateral upper extremities and left lower extremity. Passive range of motion in the right lower extremity. Abdomen is soft and nontender. Hypoactive bowel sounds noted. Client is lying in semi-Fowler’s position. Crutches at bedside. Call light within reach. Which of the following concerns should the nurse address while providing client care? (Select all that apply.) _ Physiological: Perfusion • Physiological: Pain Physiological: Gas Exchange _ Physiological: Tissue Integrity • Physiological: Mobility Physiological: Acid Base I Physiological: Nutrition • Physiological: Elimination
SCIENCE
HEALTH SCIENCE
NURSING

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