The male client who has had bilateral knee replacement surgery calls the nurse’s desk and reports that he noticed bruises on both sides of his abdomen while taking his bath. The client’s MAR notes Ancef, an antibiotic; morphine, a narcotic analgesic; and Lovenox, a low-molecular-weight heparin. Which statement is the nurse’s best response to the client?
1. “This is a reaction to the antibiotic you are receiving and it will need to be changed.” 2. “This is caused by straining when trying to have a bowel movement.” 3. “This occurs because of the positioning during the surgical procedure.” 4. “This happened because of the medication used to prevent complications.”
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