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[Answered]: Jody Rush 1630 – The nurse is performing an…

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Jody Rush 1630 – The nurse is performing an assessment of the client. The client is arousable but lethargic and reports soreness and stiffness in their jaw. Lungs are clear; respirations are fast but unlabored. Abdomen is soft and nondistended; bowel sounds hypoactive in all quadrants. Urinary catheter remains in place draining brown urine. Dressing to surgical site is dry and intact. Right leg with good sensation, and client can wiggle their toes. Bilateral extremities cool to the touch; capillary refill 3 seconds. Lactated Ringer’s infusing at

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