The nurse is reviewing the chart of a client who was admitted after experiencing a stroke. The nurse notes that the client was catheterized shortly after admission to the unit. The nurse should monitor the client closely for:
1. symptoms of heart failure.
2. wound infections of pressure sores.
3. urinary tract infection (UTI).
4. constipation.
Answer: 3
1. A client who has had a stroke is not necessarily more likely to have heart failure.
2. The client has not had time to develop pressure sores.
3. UTIs are the top nosocomial infections in hospitalized clients, usually due to urinary catheterization.
4. Constipation is a risk down the road but not one day after admission.
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