You are a working with a new patient in the acute care setti…

You are a working with a new patient in the acute care setting that had a cerebrovascular accident 5 days ago and has been relatively immobile since that time. During your therapy session, they report new onset of chest pain, difficulty breathing, and cough. Which of the following potential sequelae of stroke may explain these symptoms?

The nurse is providing care to an adult post-surgical client…

The nurse is providing care to an adult post-surgical client who recently underwent vascular leg surgery.  Upon hourly rounds, the client is found standing in a large pool of blood that is coming from the surgical site.  The client is assisted back to bed.  Vital signs are BP 88/50 mmHg, pulse 110 beats/minute, respirations 28 breaths/minute, and pulse oximetry 97% on room air.  The client appears lethargic and confused.  Which of these actions is the priority nursing intervention at this time?