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The client returns to the nursing unit following an open reduction with internal fixation of the right hip. Nursing assessment findings include:

- Temperature: 100.8 degrees Fahrenheit
- Heart rate: 112 beats per minute
- Respiratory rate: 28 breaths per minute
- Blood pressure: 86/58
- No urine in the Foley catheter collection bag

The nurse interprets these findings as indicating which complication?

A. Hypovolemic shock
B. Osteomyelitis
C. Urinary retention
D. Atelectasis

Answer :

Final answer:

The nurse interprets these findings as indicating hypovolemic shock.

Explanation:

The nurse interprets these findings as indicating hypovolemic shock.

A temperature of 100.8 degrees Fahrenheit, along with a rapid heart rate (112 beats per minute), rapid respiratory rate (28 breaths per minute), low blood pressure (86/58), and absence of urine in the Foley catheter collection bag are all indicative of hypovolemic shock. Hypovolemic shock occurs when there is a significant loss of blood volume or body fluids, leading to inadequate perfusion of tissues and organs.

Learn more about Hypovolemic shock here:

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