RN Gastrointestinal

NCLEX-RN

RN Gastrointestinal

Difficulty: Medium Average Score: 78% Simulated

The nurse cares for a client four days postoperative following an open splenectomy. The client's vital signs are T 101.1┬░F (38.4┬░C), P 92, RR 17, BP 152/86, and pulse oximetry reading 95% on oxygen at 2 L/min via nasal cannula. The surgical wound is assessed to have erythema and purulent drainage. The nurse should take which actions? Select all that apply.

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