A nurse is caring for client who just returned from the PACU with an IV fluid infusion and an NG tube in place following abdominal surgery. Which of the following data is the priority for the nurse to assess?
The coping ability of the client
The surgical dressing
The client's bowel sounds
The patency of the NG tube
The Correct Answer is D
A. Coping ability
This is important but not a priority immediately post-op.
B. Surgical dressing
Should be assessed, but airway and tube patency are more urgent.
C. Bowel sounds
Not a priority immediately post-op; expected to be decreased due to anesthesia.
D. Patency of NG tube
Ensures gastric decompression, prevents aspiration, and supports post-op recovery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Adolescent with sickle cell pain (7/10)
Needs prompt treatment, but not as life-threatening as airway obstruction.
B. Toddler with asthma and SpO₂ 95% on 2L O₂
Stable oxygenation; not an immediate emergency.
C. Toddler with otitis media and fever
Infection is concerning but not life-threatening.
D. Child with acute epiglottitis, drooling, no cough
These are classic signs of airway obstruction. Airway management is the priority—this is life-threatening.
Correct Answer is D
Explanation
A. Nursing entrepreneur
Refers to nurses starting their own businesses-doesn’t apply here.
B. Professional collaborator
Works with interdisciplinary teams-not the key role in this outreach activity.
C. Political advocate
Focuses on legislative change-not specific to clinic workshops.
D. Educator
Teaching at a clinic to improve access to healthcare is a clear educator role.
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