The nurse is caring for a client who had abdominal surgery two days previously. Which of the following information about the client is most important to communicate to the health care provider?

Question

Quizplus · Accepted Answer

The calf pain, swelling, and warmth suggest that the client has a deep vein thrombosis, which will require health care provider orders for diagnostic tests and anticoagulants. Because the stress response causes fluid retention for the first 2-5 days postoperatively, the difference between intake and output is expected. A temperature elevation to 37.9°C (100.2°F) on the second postoperative day suggests atelectasis, and the nurse should have the client deep breathe and cough. Pain with ambulation is normal, and the nurse should administer the ordered analgesic before client activities.

The Nurse Is Caring for a Client Who Had Abdominal