A client is receiving 1000 mL 0.9% NaCl at 80 mL/hr. On arrival to the unit at 1500, the client has 400 mL of IV fluid remaining. At what time should the nurse expect to hang a new bag? (please use military time)

A. Tanning beds significantly increase the risk of developing skin cancer, particularly melanoma. The UV radiation from tanning beds is a known carcinogen, and frequent use can damage the skin's DNA, leading to an increased risk of skin cancer. This individual is at high risk and should definitely follow up for skin cancer screenings.
B. While freckles can be a sign of sun exposure, they are not necessarily indicative of a higher risk of skin cancer. However, it is important for this individual to monitor for any changes in freckles (such as size, shape, or color) and to perform regular self-exams.
C. While sun exposure should be minimized, the risk of skin cancer is lower at 8 AM when UV rays are less intense. That said, the individual should still take precautions like wearing sunscreen and protective clothing, but their risk is not as elevated as that of someone using tanning beds.
D. Tanning sprays do not expose the skin to harmful UV radiation, so they do not increase the risk of skin cancer. However, it's important to note that this individual should still be mindful of overall skin health.

A. Pain management is an important aspect of postoperative care, particularly after a thoracotomy and lobectomy. However, it is not the highest priority compared to monitoring for potential complications, such as bleeding or respiratory distress, which are more immediately life-threatening.

B. Urinary output is an important indicator of renal function and hydration status. However, in the immediate postoperative period following thoracotomy and lobectomy, monitoring chest tube drainage for excessive bleeding or signs of a complication, like pneumothorax, is more critical for the patient's immediate stability than monitoring urinary output.

C. Tactile fremitus refers to the palpable vibration on the chest wall when a patient speaks. It is helpful in assessing lung consolidation or other lung issues, but it is not as critical to assess immediately in the postoperative phase as monitoring for complications related to chest tube drainage, which is directly linked to the patient's respiratory and hemodynamic status.

D. After a thoracotomy and lobectomy, monitoring chest tube drainage is of utmost importance. The nurse should assess the color, amount, and consistency of drainage to detect any excessive bleeding or signs of a complication like a pneumothorax or hemothorax. Significant drainage (especially >100 mL/hr for several hours) could indicate bleeding, which is a critical postoperative complication that requires immediate intervention.