Question: A Nurse Assesses The Following On A Client Who Had A Colon Resection 4 Days Ago: A&Ox3 Skin Is Warm Abdomen Distended, Contender, Bowel Sounds Present Abdominal Sutures Well Approximated Level Of Pain 2/10 Fine Crackles In The Lower Lungs Bilaterally In Tanning Care, Which Nursing Action Is Of Priority? A) Take Vital Signs 24h B) Ambulate The Client ...

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A nurse assesses the following on a client who had a colon resection 4 days ago: A&Ox3 Skin is warm Abdomen distended, contender, bowel sounds present Abdominal sutures well approximated Level of pain 2/10 Fine crackles in the lower lungs bilaterally In tanning care, which nursing action is of priority? a) Take vital signs 24h b) Ambulate the client c) Assess lung sounds q4h d) Push oral fluids Please send your answer to my email and be sure to include your rationale for your choice

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