Which of the following assessments would be most concerning to a nurse caring for a patient who was recently admitted to the unit after a right knee replacement?

1. Pedal pulses on the operative side are weak compared with those on the nonoperative side.
2. A small amount of serosanguineous drainage is noted on the dressing.
3. The intravenous pump is infusing normal saline at 100 mL/hr.
4. The patient has a Foley catheter that is draining clear yellow urine.


ANS: 1

Nursing

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