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Nursing fundamentals · practice question

A 76-year-old client in a long-term care facility is being evaluated for postoperative monitoring. Assessment data include pain 9/10 and guards the abdomen after surgery. Which finding requires the nurse to intervene immediately?

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Answer and explanation

Correct answer

A. The new finding that pain 9/10 and guards the abdomen after surgery.

Why

Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.

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