nurse is assisting with the care a client who is postoperative.
Exhibit 1
Exhibit 2
Exhibit 3
Exhibit 4
Nurses' Notes
1230:
Client admitted to medical-surgical unit from PACU. Client reports incisional pain as a 2 on a scale of 0 to 10. Client appears restless and is frequently asking for water. Bilateral lower extremities are cool with +1 pedal pulses. Urine output was 40 mL in the last 2 hr. Moderate amount of bright red drainage noted on the surgical incision dressing.
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.