A nurse is collecting data from a client who is 1 day postoperative following a transurethral resection of the prostate. Which of the following findings should the nurse report to the provider?

A. A toddler who has atopic dermatitis: Atopic dermatitis is a common chronic skin condition and does not increase the risk of child maltreatment. While it may require ongoing care, it is not associated with higher rates of abuse or neglect.

B. An only child: Being an only child is not a recognized risk factor for child maltreatment. Maltreatment risk is more closely related to caregiver stress, child vulnerability, and family dynamics rather than sibling status.

C. A school-age child who has cerebral palsy: Children with physical or developmental disabilities are at increased risk for maltreatment due to caregiver stress, dependency, and communication barriers. These children may be less able to protect themselves or report abuse, making them more vulnerable.

D. A child who was conceived by in vitro fertilization: Conception through assisted reproductive technology does not increase the risk of child maltreatment. These children are often highly desired and planned, which does not align with known risk factors for abuse or neglect.

A. Check the client's pedal pulses every hour: Frequent assessment of distal circulation is crucial after a total knee arthroplasty to detect signs of compromised blood flow, such as thromboembolism or compartment syndrome. Monitoring pulses, skin color, and temperature helps identify early complications and prevent tissue damage.

B. Maintain the head of the client's bed in high-Fowler's position: High-Fowler’s position is not recommended post-knee arthroplasty as it can increase strain on the surgical site and reduce venous return from the lower extremities. Keeping the leg elevated and the client in a semi-Fowler’s or supine position is safer.

C. Remove the client's dressing when it becomes saturated: Dressings should only be removed or changed according to the provider’s protocol, typically by sterile technique. Premature removal can increase the risk of infection and disrupt the healing surgical site.

D. Place an abductor wedge under the client's right knee: Abductor wedges are primarily used after hip replacement to maintain hip alignment, not knee arthroplasty. Placing one under the knee could cause discomfort or improper positioning. Proper knee alignment involves elevation and extension support.