The nurse is caring for a client who had a total hip replacement four (4) days ago. Which assessment requires the nurse’s immediate attention?
A. I have bad muscle spasms in my lower leg of the affected extremity.
B. “I just can’t ‘catch my breath’ over the past few minutes and I think I am in grave danger.”
C. “I have to use the bedpan to pass my water at least every 1 to 2 hours.”
D. “It seems that the pain medication is not working as well today.”
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