Editing Reduction of Risk Potential – LPN Practice Questions (section)

==Question 13==
''Select all that apply.'' Which findings in a postoperative client should the nurse report to the registered nurse promptly?
# The client reports that the abdominal incision "feels like something gave way," and a sudden increase in serosanguineous drainage is noted.
# Urine output of 15 mL over the past hour in an adult with an indwelling catheter.
# The calf of one leg is swollen, warm, and painful.
# The client used the incentive spirometer ten times in the last hour.
# The client rates incision pain as 3 out of 10 after receiving the ordered analgesic.

'''Answer:''' Options 1, 2, and 3.

''Rationale:'' A sensation that something gave way with a gush of serosanguineous drainage often precedes wound dehiscence and requires immediate reporting. Adult urine output below roughly 30 mL per hour signals inadequate renal perfusion. Unilateral calf swelling, warmth, and pain suggest deep vein thrombosis, and the leg must not be massaged. Option 4 is a desirable behavior, and option 5 shows effective pain control.