Assignment task:
1800: Client is alert and oriented x4. Skin is warm and dry. Lungs clear on auscultation. Bowel sounds hypoactive in all four quadrants. Clear yellow urine. Incisional dressing clean and dry. Client reports pain as 6 on a scale of 0 to 10. 1815: Morphine administered by the RN as prescribed. 2000: Client reports abdominal pain as 10 on a scale of 0 to 10. Client reports nausea, no vomiting. Incisional dressing is dry and intact with no breakthrough bleeding noted. Lung sounds are clear to auscultation. Hypoactive bowel sounds present in all four quadrants. ?? Which of the following 4 client findings should the nurse report to the charge nurse? Oxygen saturation Nausea Heart rate Lungs sounds Pain level Bowel sounds Vomiting Incision characteristics