A client who had abdominal surgery 3 days ago is reluctant to ambulate. The nurse notes that the client has developed a nonproductive cough, has a temperature of 100°F, and hears crackles at the base of his lungs. The nurse should first:
ExplanationThis client is at risk for postoperative pneumonia due to immobility. The findings indicate a problem that could be consistent with postoperative pneumonia and need to be reported to the HCP. The other actions are appropriate, but the nurse’s first action is to notify the HCP.