1. During a two-week postoperative follow-up home visit, a female client who had
gastric bypass surgery exhibits abdominal tenderness, shoulder pain, and
describes feelings of malaise. Her vital signs are: temperature 101.8°F, blood
pressure 100/50, heart rate 104 beats/minute, and respirations18 breaths/minute.
Which action should the nurse take?
a. Determine the client's current oxygen saturation rate.
b. Instruct the client to drive to the hospital for admission
c. Recheck the client's vital signs in 30 minutes
d. Have the client transported via ambulance to the hospital
2. An older man has become increasingly forgetful, frequently eats large
quantities of food from refrigerator, and cannot remember when he takes his
medications. He has limited mobility to weight-related osteoarthritis in bothknees.
When assisting the client's wife with a plan care for the home, whichinterventions
should the nurse suggest? (Select all that apply.)
a. Request a referral for motorized wheelchair to assist with mobility.
b. Keep a variety of fresh fruits and vegetables that are easily accessible.
c. Put medications into a container that organized the pills by the day and
time.
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