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

Answer and Explanation

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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Correct Answer is ["B","D"]

Explanation

B. Assessing the client's reliability as a historian involves gathering information about their medical history, symptoms, and health behaviors. While this is an important aspect of client assessment, it may not be immediately necessary right before performing the physical exam.

D. Constructing the client's family genogram is an important aspect of assessing their family history, which may be relevant to their current health condition. However, this task is not immediately necessary right before performing the physical exam and can be completed at a later time during the assessment process.

A. Telephone the interpreter that is designated for the facility to interpret the information, B. Ask the client's partner to interpret the information. C. Call a nursing colleague who speaks the same language as the client to interpret the information. D. Use an electronic translating service from the internet to interpret the information.

Correct Answer is A

Explanation

Telephone the interpreter that is designated for the facility to interpret the information is a preferred option as it ensures accuracy and confidentiality in communication.
B. While involving the client's partner may seem convenient, it is not the preferred option for several reasons.
C. While having a colleague who speaks the same language as the client can be helpful, it is not always a reliable option.
D. While electronic translating services can provide a quick solution, they may not always accurately translate medical terminology or convey the nuances of communication.

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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?

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