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A client who had a right hip replacement 3 days ago is pale, has diminished breath sounds over the left lower lung fields, a temperature of 100.2 F, and an oxygen saturation rate of 90. What should be the next step in the management of this client?
1) Reassess readiness for SNF transfer.
2) Obtain specimens for culture analysis.
3) Confer with family about home care plans.
4) Arrange physical therapy for strengthening.

Answer :

Final answer:

Considering the symptoms presented by the client post hip replacement, the next step would be to obtain specimens for culture analysis to diagnose potential infections such as pneumonia, informed by the client's immobility and presenting symptoms. Therefore correct option 2) Obtain specimens for culture analysis.

Explanation:

The clinical presentation of a client with a recent right hip replacement who is now pale, has diminished breath sounds over the left lower lung fields, a temperature of 100.2 F, and an oxygen saturation of 90 suggests a possible postoperative complication such as pneumonia, which is a common risk due to immobility following surgery. Considering the importance of prompt and appropriate management in such situations, the next step should 2) Obtain specimens for culture analysis. This would help in diagnosing any potential infection. It is critical to rule out respiratory complications which can be exacerbated by immobility due to a procedure such as a hip replacement. Arranging for sputum cultures, a complete blood count, and possibly imaging such as a chest x-ray would be vital in confirming the diagnosis and guiding further treatment.

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