The nurse reviews the prescriptions and plans initial steps for caring for the client. Exhibits Click to indicate which interventions the nurse should perform to care for this client. Each row must have one response option selected.

Rationale: Administer ondansetron 4 mg IV push: The client reports nausea and a history of vomiting, likely related to trauma, surgery preparation, and opioid use. Administering ondansetron will prevent aspiration, maintain hydration, and promote comfort during recovery. Inspect the bandage for drainage: Observing the surgical dressing for bleeding or drainage is critical post-injury and postoperatively. It allows the nurse to identify early signs of hemorrhage, hematoma, or infection and report abnormalities promptly. Check capillary refill on bilateral upper extremities: The left arm shows cool skin and diminished radial pulse (1+), suggesting compromised circulation. Checking capillary refill helps monitor perfusion and detect potential neurovascular compromise early. Provide morphine 2 mg IV push: The client reports severe pain (10/10) from the humeral fracture. Administering prescribed opioids manages pain effectively, facilitates movement, and improves comfort, while allowing compliance with surgical positioning and procedures. Perform range of motion: Active or passive range-of-motion exercises on the fractured left arm are contraindicated because the client has a displaced humeral head/neck fracture. Movement could worsen displacement, compromise neurovascular status, increase pain, and impede healing. The arm should remain immobilized until surgical fixation. Palpate and compare radial pulses: Comparing pulses bilaterally assesses for neurovascular compromise in the injured limb. This is essential after fractures, especially with displacement, swelling, and diminished strength, to prevent ischemic complications.