The nurse is caring for a client in the intensive care unit (ICU) who is mechanically ventilated and sedated following an emergency abdominal aortic aneurysm (AAA) repair. Which assessment warrants immediate intervention by the nurse A Abdominal girth increase of 2 inches (5.1 cm). B No spontaneous respirations over set rate. C Core body temperature of 101deg F (38.3deg C). D Urine output less than fluid intake.
[Solved]: The nurse is caring for a client in the intensive…
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