SOLVED1814

Janene Whitmore Post-op day 3: The nurse enters the client’s room to perform an assessment. The client appears pale and tachypneic. The client states that she is “too tired to get out of bed today.” Heart sounds are clear, bilateral lungs sounds are coarse. Bowel sounds are hypoactive in all four quadrants. The dressing on the client’s umbilical incision is has a moderate amount of frank red blood on it. The client’s urine output for the last 4 hr is a total of 70 cc/hr. Current vital signs are a temperature of 37.2° C (98.9° F). pulse 118/min, respirations 30/min, blood pressure 106/54 mm Hg. and oxygen saturation of 92% on 2 L. NC. Which of the following interventions should the nurse implement? (Select all that apply.) _ Have phlebotomy draw a CBC. Increase the supplemental oxygen.. I Prepare the client for transfer to the ICU. I Administer = 0.9% sodium chloride bolus. I Request that ABGs be drawn.
SCIENCE
HEALTH SCIENCE
NURSING

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