A nurse is caring for an older adult client who has just returned from PACU after receiving a spinal anesthetic during knee surgery. For which of the following findings should the nurse notify the provider?

A. A care coordinator role involves organizing and facilitating the delivery of healthcare services to ensure that the client's needs are met in a timely and efficient manner. This includes coordinating care plans, scheduling appointments, communicating between healthcare providers, and ensuring continuity of care. The nurse acts as a central point of contact and coordination for the client's healthcare team, ensuring all aspects of care are addressed.
B. A counselor role involves providing emotional support, guidance, and counseling to clients and their families. While nurses may provide counseling as part of their care, it typically focuses on health-related issues and coping strategies rather than organizing interprofessional teams.
C. An educator role involves providing information, teaching, and training to clients, families, and healthcare team members. Nurses educate clients about their health conditions, treatments, and self- care practices. They also educate other healthcare professionals on best practices, new treatments, and protocols. While education is crucial for effective teamwork, it alone does not encompass organizing interprofessional teams.
D. A researcher role involves conducting scientific inquiry and research to advance knowledge and improve healthcare practices. Researchers contribute to evidence-based practice by generating new knowledge through research studies. While research may influence healthcare teams' decisions and practices, it is not directly related to organizing interprofessional teams for client care.

A. Delayed gastric emptying (gastroparesis) typically manifests with symptoms related to the gastrointestinal system, such as nausea, vomiting, bloating, and early satiety. It does not cause changes in lung auscultation findings.
B. Pulmonary edema is characterized by the accumulation of fluid in the lungs, leading to symptoms such as shortness of breath, crackles (rales) on lung auscultation, and possibly decreased oxygen saturation. While pulmonary edema can cause abnormal lung sounds, it is less likely in a client recovering from a lacerated spleen unless there are additional complications or comorbidities.
C. Atelectasis refers to the collapse or closure of a part of the lung, resulting in reduced or absent air exchange. It can occur due to prolonged bedrest, shallow breathing, or conditions that restrict lung expansion. A client who has been on bedrest for several days is at increased risk for developing atelectasis, especially in the lower lobes where ventilation may be compromised. Decreased breath sounds in the lower lobes suggest atelectasis as a likely condition.
D. An upper respiratory infection typically affects the upper airways (nose, throat, sinuses), causing symptoms such as nasal congestion, sore throat, cough, and sometimes fever. Lung auscultation findings in an upper respiratory infection are more likely to include rhonchi or wheezes rather than decreased breath sounds in the lower lobes.