Second: client needing heart transplant will be unstable requires monitoring and early assessment;
circulation consideration.
Third: needs assessment of blood glucose and preoperative needs but falls behind respiratory and
unstable circulation.
Last: stable client.
The child has a closed transverse fracture of the right ulna. Which nursing action before the application
of a cast is most important?

1) CORRECT — assess neurovascular status, check pain, pallor, paralysis, paresthesia, pulselessness
The nurse cares for the multipara client who delivered an infant 1 hour ago. The nurse observes the
client's breasts are soft, the uterus is boggy to the right of the midline and 2 cm below the umbilicus,
and there is moderate lochia rubra. It is most important for the nurse to take which action?

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