A nurse is assisting in the care of a client who has a pulmonary embolism and is experiencing dyspnea. Which of the following actions should the nurse take first?

Place the client in high-Fowler's position.

Obtain the client's vital signs.

Administer heparin to the client.

Encourage the client to cough and deep breathe.

Answer and Explanation

The Correct Answer is A

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Correct Answer is B

Explanation

This finding could indicate the presence of bile leakage, which can occur following a cholecystectomy. The provider should be notified immediately as the client may require further interventions. Incisional pain, shoulder pain, and a dry and intact abdominal dressing are expected findings in the postoperative period.

Choice A, reporting of shoulder pain, is not the correct answer because this is a common finding post-cholecystectomy, which is often due to the presence of carbon dioxide used during the surgical procedure.

Choice C, incisional pain 5 out of 10 on a pain scale, is not the correct answer because this level of pain is within the expected range for the postoperative period.

Choice D, abdominal dressing dry and intact, is not the correct answer because this is an expected finding in the postoperative period.

A. Total bilirubin 0.8 mg/dL B. BUN 40 mg/dL C. PaO2 90 mm Hg D. Hematocrit 45%

Correct Answer is B

Explanation

BUN 40 mg/dL. Elevated BUN levels can indicate impaired kidney function, which can be a potential adverse effect of long-term NSAID therapy.

Reasons why the other options are not answers:

Option A: Total bilirubin 0.8 mg/dL is a normal value and does not require reporting to the provider.

Option C: PaO2 90 mm Hg is within the normal range and does not require reporting to the provider.

Option D: Hematocrit 45% is within the normal range and does not require reporting to the provider.

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A nurse is assisting in the care of a client who has a pulmonary embolism and is experiencing dyspnea. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postoperative following an open cholecystectomy. Which of the following assessment findings should the nurse report to the provider?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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