A nurse is caring for an older adult client on

A nurse is caring for an older adult client on a medical-surgical unit. Select the 2 client findings that will affect the maximum dosage per day of the prescribed analgesic. Exhibit 1 Exhibit 2 Exhibit 3 Exhibit 4 Nurses’ Notes Gastrointestinal assessment Vital signs Day 1: Cardiovascular assessment Client admitted following open reduction internal fixation of Laboratory results right hip fracture. Client is alert and oriented to person, place, Pulmonary assessment and time. Dressing on right hip is dry and intact. Mental status Lung sounds are diminished in lower lobes bilaterally. $1 and $2 are present on auscultation. Capillary refill 2 sec in all extremities. Radial and pedal pulses 2+ bilaterally. Skin cool and dry to touch. Bowel sounds hypoactive in 4 quadrants, Day 2: Client is alert and oriented to person, place, and time. Dressing on right hip is intact with scant amount of serosanguinous drainage. Lung sounds are clear bilaterally. $1 and $2 are present on auscultation. Capillary refill 2 sec in all extremities. Radial and pedal pulses 2+ bilaterally. Skin warm and dry to touch. Bowel sounds absent in 4 quadrants. Abdomen is tender and distended. Client reports last bowel movement was 3 days ago

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