A Nurse Assesses a Client Who Is Recovering from a Radical

question 20

Multiple Choice

A nurse assesses a client who is recovering from a radical nephrectomy for renal cell carcinoma.The nurse notes that the client's blood pressure has decreased from 134/90 to 100/56 mm Hg and urine output is 20 mL for this past hour.Which action should the nurse take?

• A) Position the client to lay on the surgical incision.
• B) Measure the specific gravity of the client's urine.
• C) Administer intravenous pain medications.
• D) Assess the rate and quality of the client's pulse.

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