The client with a total knee replacement should be assessed for anemia. A hematocrit of 26% is extremely low and might require a blood transfusion. Bleeding of 2cm on the dressing is not extreme. Circle and date and time the bleeding and monitor for changes in the clients status. A low-grade temperature is not unusual after surgery. Ensure that the client is well hydrated. and recheck the temperature in 1 hour. If the temperature is above 100.6°F (38.1°C). report this finding to the doctor. Tylenol will probably be ordered. Voiding after surgery is also not uncommon and no need for concern; therefore answers A. B. and D are incorrect.
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