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The nurse is caring for a client who had a total hip replacement 4 days ago. Which assessment requires the nurse’s immediate attention?



A. I have bad muscle spasms in my lower leg of the affected extremity.
B. "I just can’t ‘catch my breath’ over the past few minutes and I think I am in grave danger."
C. "I have to use the bedpan to pass my water at least every 1 to 2 hours."
D. "It seems that the pain medication is not working as well today."
Asked by Leo, Last updated: Sep 08, 2020

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John Smith

John Smith

John Smith
John Smith

Answered Sep 08, 2016

\"i just can’t ‘catch my breath’ over the past few minutes and i think i am in grave danger.\"-the nurse would be concerned about all of these comments. however the most life threatening is answer choice i just cant catch my breath over the past few minutes and i think i am in grave danger.. clients who have had hip or knee surgery are at greatest risk for development of post operative pulmonary embolism. sudden dyspnea and tachycardia are classic findings of pulmonary embolism. muscle spasms do not require immediate attention. answer choice i have to use the bedpan to pass my water at least every 1 to 2 hours. may indicate a urinary tract infection. answer choice it seems that the pain medication is not working as well today. requires further investigation and is not life threatening.
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