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    Ati Fundamentals 2023 Proctored Exam

    A nurse is caring for a client who is 4 hr postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?

    Explanation & Rationale

    Rationale A. Serosanguineous drainage on surgical dressing: Serosanguineous drainage is a normal postoperative finding during the first few hours after surgery. It reflects expected wound healing and does not require immediate reporting. B. Hypoactive bowel sounds: Hypoactive bowel sounds are common in the immediate postoperative period due to anesthesia and analgesics. While bowel function should be monitored, this finding is expected and not urgent. C. Urine output 25 mL/hr: Urine output below 30 mL/hr indicates possible inadequate renal perfusion or early postoperative oliguria. This finding should be reported promptly to the provider for evaluation and potential intervention to prevent acute kidney injury. D. Heart rate 68/min: A heart rate within normal limits is not concerning in a postoperative client. It does not indicate a complication and does not require immediate provider notification.

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