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 A

Explanation

A Close friend may provide warm feeling of support due to their background knowledge of the client. It gives the client a sense of belonging and support.

B Social workers are trained to provide crisis intervention, advocacy, and support services tailored to the needs of survivors of sexual assault. However, thery might not be able to connect closely with the client like a close friend.
C. Chaplains may offer emotional and spiritual support to individuals in crisis situations, including survivors of sexual assault but are not trained to handle such cases.
D. While their expertise is valuable for long-term therapy and support, they may not be readily available for immediate crisis intervention in the emergency department.

A. Assessing the client's neurologic status B. Consulting an allergy specialist C. Administering epinephrine D. Determining the cause of the hives

Correct Answer is C

Explanation

Administering epinephrine is the immediate priority when managing anaphylaxis. Epinephrine is the first-line treatment for anaphylaxis as it helps to rapidly reverse severe allergic symptoms, such as airway constriction, swelling, and hypotension.

A. While assessing the client's neurologic status is important for monitoring their overall condition, it may not be the immediate priority when the client is experiencing symptoms of an allergic reaction, particularly anaphylaxis.

B. While consulting an allergy specialist may be necessary for further evaluation and management of the client's allergic condition, it is not the immediate priority.

D. While determining the cause of the hives is important for identifying the allergen and preventing future allergic reactions, it is not the immediate priority during an acute episode of anaphylaxis.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is caring for a client who was sexually assaulted. Which of the following resources will provide the most effective support immediately following the incident?

Correct Answer is A

Explanation

A nurse is caring for a client with an allergic skin condition. The client develops wheezing, a swollen tongue, and hives. Which of the following is the nursing priority?

Correct Answer is C

Explanation

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