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    Swedish Institute College Of Health Sciences Medical Surgical Proctored Exam

    A nurse is conducting a postoperative assessment on a client in a surgical ward Complete the diagram by dragging from the choices below to specify 1 potential condition the client is most likely experiencing, 2 actions the nurse would take to address that condition, and 2 parameters the nurse would monitor to assess the client's progress.

    Explanation & Rationale

    Rationale: The client’s report of sharp pain rated 7/10, guarding behavior, and difficulty moving are classic indicators of acute postoperative pain. The slightly elevated temperature and stable incision site suggest inflammation from surgery rather than infection or wound complications. Administering prescribed IV morphine is appropriate for managing moderate to severe postoperative pain, as opioids act on central nervous system receptors to reduce pain perception. Educating the client on breathing techniques helps prevent complications such as atelectasis and reduces pain associated with movement by promoting relaxation and proper oxygenation. Monitoring pain level allows evaluation of the effectiveness of analgesic therapy and guides further interventions. Monitoring respiratory rate is essential when administering opioids because of the risk of respiratory depression, ensuring safe and effective pain management.

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