SOLVED2168

The client is now one day postoperative and recovering from a right hemiarthroplasty. A new prescription for fondaparinux 2.5 mg subcut daily has been administered to the client. Upon assessment, client can state their name but is disoriented to place and time. Current vital signs are temperature 98.9° F (37.2° C), blood pressure 105/60 mm Hg, heart rate 94/min, and respirations 16/min. Bowel sounds are absent. Urinary output is 64 mL over the past 5 hr. When planning client care, which of the following actions should the nurse take? (Select all that apply.) Reorient the client by providing detailed explanations and descriptions. Request a prescription for an indwelling urinary catheter for the client. I Perform a bladder scan on the client. I Reposition the client every 3 hr. • Ensure the client receives cefazolin 1 g IV every 6 hr.
SCIENCE
HEALTH SCIENCE
NURSING

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