NCLEX Practice Questions: Quiz 464

A client with diabetes mellitus is admitted to the surgical unit after a vaginal hysterectomy. The client received 6 units of regular insulin subcutaneously and metoprolol 50 mg by mouth in the post anesthesia care unit. Which statement by the unlicensed assistive personnel would require immediate action by the nurse?
- 1 . "I changed the client's perineal pad 3 times in the last 2 hours."
- 2. "I have been encouraging the client to exercise the legs while in bed."
- 3. "I thought you should know the client voided 500 mL of straw-colored urine."
- 4. "I just took the client's vital signs, which are blood pressure 108/60 mm Hg. pulse 58. and respirations 12."

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