Problem
While caring for a client who is recovering from CABG surgery, you gather the following data: the client has leg pain, which the client rates as 8 on a scale of 1 to 10; the respiratory rate is 30 breaths/minute at rest; there is dried blood on the thoracic dressing; the client's throat is sore after being weaned from mechanical ventilation; and the client is concerned because there has been no bowel movement in 3 days. Which assessment finding is the major concern at this time?