A nurse is caring for a postoperative client who had an abdo…

A nurse is caring for a postoperative client who had an abdominal surgery 3 days ago. During the morning assessment, the client reports feeling “chilled and weak.” Vital signs are: Temperature: 100.6°F  Heart rate: 118 bpm Respiratory rate: 20 breaths per minute Blood pressure: 100/62 mmHg Which interpretation of these findings is most appropriate?

A nurse is caring for a client with heart failure who has no…

A nurse is caring for a client with heart failure who has not been compliant with the fluid restriction. During the morning assessment, the nurse notes bilateral crackles in the lungs, jugular vein distention, and a weight gain of 2.5 lbs in 24 hours.   Which action should the nurse take first?