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A nurse is assessing a client who is 1 hr postoperative following roux-en Y gastric bypass surgery. Which of the following findings is the priority for the nurse to report to the provider?

Client report of back pain of 7 on a 0 to 10 scale

Excoriated folds of the client's panniculus

Hypoactive bowel sounds upon auscultation

urine output of 80 mL in the past hour

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Postoperative pain management is crucial for the client's comfort and recovery.

Choice B rationale:

Excoriated folds of the client's panniculus might be related to skin irritation and can be addressed without immediate provider notification.

Choice C rationale:

Hypoactive bowel sounds can be expected after surgery and might not require immediate reporting.

Choice D rationale:

Urine output of 80 mL in the past hour might be influenced by various factors and is not as high a priority as severe pain.

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Correct Answer is A

No explanation

A. Place the client on a low-protein diet B. Restrict the client's intake of dietary sodium. C. Ask the provider to decrease the magnesium hydroxide dosage. D. Request a prescription to discontinue diphenhydramine.

Correct Answer is C

Explanation

Choice A rationale:

Placing the client on a low-protein diet is not appropriate based solely on the provided information.

Choice B rationale:

Restricting dietary sodium might be considered for specific conditions but is not directly related to the client's confusion.

Choice C rationale:

A high magnesium level can contribute to confusion in older adults. Requesting a reduction in the magnesium hydroxide dosage can help address this issue.

Choice D rationale:

Discontinuing diphenhydramine might be considered if it is contributing to the client's confusion, but there is no specific information provided to support this action.

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A nurse is assessing a client who is 1 hr postoperative following roux-en Y gastric bypass surgery. Which of the following findings is the priority for the nurse to report to the provider?

Nursing Test Bank

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