The Home Care Nurse Is Making a Follow-Up Visit to a Client

The nurse is caring for a client who had right total knee replacement surgery 3 days ago.During the assessment,the nurse notes that the client's right lower leg is twice the size of the left.What is the nurse's priority intervention? A) Elevate the client's right leg. B) Apply antiembolism stockings. C) Assess the client's respiratory status. D) Check the client's pedal pulses.

A client had a total knee replacement earlier in the day and has a continuous femoral nerve blockade (CFNB).When entering the room to assess the client,the nurse notes that the television volume is quite loud.The client explains that it is hard to hear with "all the ringing in my ears." What action by the nurse takes priority? A) Perform a neurovascular assessment on the operative extremity. B) Call another nurse to notify the anesthesiologist immediately. C) Take a full set of vital signs and discontinue the CFNB. D) Pad the siderails and instituting other seizure precautions.