A nurse is collecting data from a client who is immobile and has a potential deepvein thrombosis.
Which of the following findings should the nurse report to the provider?

The correct answer is choice D. The nurse should respect the client’s autonomy and offer assistance if needed.

The nurse should also assess the client’s pain level and provide adequate pain relief before helping the client get out of bed.

Choice A is wrong because it implies that the client is in pain and needs medication, which may not be true.

The nurse should ask the client about their pain level and offer medication if appropriate.

Choice B is wrong because it dismisses the client’s feelings and does not address the underlying issue of why the client does not want to be touched.

Choice C is wrong because it may make the client feel defensive or interrogated.

The nurse should use open-ended questions and active listening to explore the client’s concerns and fears.

According to web sources, postoperative care involves monitoring and managing the client’s vital signs, pain, wound healing, fluid and electrolyte balance, bowel and bladder function, mobility, and psychological status.

The nurse should also educate the client about self-care, wound care, activity restrictions, medication use, signs of complications, and follow-up appointments.

The nurse should also provide emotional support and reassurance to the client and their family.

This action will help the client hear the nurse better by reducing competing sounds.

The nurse should also face the client when speaking, use short phrases, and communicate using paper and pen if needed.

Choice A is wrong because using short phrases alone is not enough to promote communication with a client who has hearing loss.

The nurse should also use other strategies such as decreasing background noise and facing the client when speaking.

Choice C is wrong because speaking in a loud voice can distort the sound and make it harder for the client to understand.

The nurse should speak clearly, slowly, and distinctly, but not shout.

Choice D is wrong because talking at a rapid rate can make it difficult for the client to follow the conversation.

The nurse should speak at a normal pace and pause between sentences.