Which assessment finding would require an immediate nursing action when providing care to an adolescent who is postoperative for spinal fusion surgery?
1. Sleeps when not bothered but arouses easily with stimuli
2. Impaired color, sensitivity, and movement to lower extremities
3. Nausea relieved by antiemetics
4. Pain relieved by analgesics
Question 2
The mother of a 6-week-old male infant tells the nurse that her baby has had colic for several days, crying for up to 3 hours and drawing his legs up on his abdomen. The mother says she is at wits end and wonders what she can do. The nurse learns that the infant is being formula-fed and gaining weight satisfactorily. Which recommendations will the nurse make based on the current data? Select all that apply.
1. Breastfeeding the infant
2. Switching to a bottle that has a collapsible bag inside
3. Putting the infant in a baby swing after feeding
4. Burping the baby more frequently
5. Giving the baby a suppository once each morning
The nurse cares for the postop client in the postanesthesia care unit (PACU).
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