The Nurse Is Assessing the Client Who Is Status 4 $\degree$

question 23

Multiple Choice

The nurse is assessing the client who is status 4 hours post total knee arthroplasty. The assessment is as follows: blood pressure (BP) 90/60 mm Hg, pulse (P) 94 beats/min; respirations (R) 16 breaths/min; temperature (T) 98.6 $\degree$ F, dressing is saturated with frank red blood. The nurse reinforces the dressing and contacts the surgeon. What is the nurse's main concern regarding this client?

• A)The client may be hemorrhaging.
• B)The client may be hypovolemic.
• C)The client is developing an infection.
• D)The client is developing a thrombus.

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Definitions:

Employment Level

The total number of people currently employed in the economy, indicating the job availability and workforce engagement within a specific period.

Minimum Wage Laws

Legislation that sets the lowest hourly wage rate that an employer can legally pay its workers.

Agricultural Workers

Individuals engaged in farming, growing crops, or raising animals.

Illegal Immigrants

Individuals who enter or reside in a country without the legal permission or in violation of the country's immigration laws.