A nurse in the post-anesthesia care unit is caring for a client who is postoperative following a thoracotomy and lobectomy. Which of the following postoperative assessments should the nurse give highest priority to?
Chest tube drainage
Arterial blood gases
Urinary output
Pain level
The Correct Answer is B
Oxygenation is an important and priority assessment. Assessing the arterial blood gases provide information on the oxygenation and ventilation status in the client post thoracotomy
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Related Questions
Correct Answer is C
Explanation
Nausea refers to the sensation of feeling sick to the stomach, and it is a symptom that is reported by the client. Since it is based on the client's perception and cannot be directly observed by the nurse, it is considered subjective data.
A. Blood pressure is a measurable vital sign that can be obtained using a blood pressure cuff and stethoscope.
B. Cyanosis is a bluish discoloration of the skin or mucous membranes due to insufficient oxygenation of the blood.
D. Petechiae are small, pinpoint-sized red or purple spots on the skin that result from bleeding under the skin.
Correct Answer is D
Explanation
Identifying the client's primary health issue or reason for seeking care, the nurse can prioritize the assessment and subsequent care interventions accordingly. This approach ensures that urgent or important health issues are addressed promptly, contributing to patient safety and satisfaction.
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