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    Ati lpn med surg proctored exam (blood immune test)

    A nurse is caring for a client who reports pain in their lower extremities following surgery. Which of the following should the nurse address first?

    Explanation & Rationale

    A. Last bowel movement 2 days ago: This is a common post-op issue but is not as high a priority as acute pain or potential complications like DVT. B. Reports pain as 5 on a scale of 0 to 10: According to the principles of patient-centered care and the "Pain is the 5th Vital Sign" initiative, acute post-operative pain should be addressed immediately. C. Been on bedrest for 3 days: This is a risk factor for complications, but the report of pain (Choice B) is an active symptom that needs assessment first. D. Consumed 35% of meals for 12 hr: Poor intake is expected immediately after surgery and is not an immediate priority over pain management.

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