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 B
Explanation
A. "You would like more information..."
This doesn't address the emotional content of the client’s statement.
B. "You feel like you have no remaining options..."
This is therapeutic. It reflects the client’s feelings and encourages expression.
C. "If you do not like your medications..."
Redirects the conversation instead of acknowledging hopelessness.
D. "Would you like to speak to a therapist..."
While appropriate later, the immediate need is empathetic listening and validation.
Correct Answer is B
Explanation
A. Anuria
A late sign of shock after perfusion has significantly dropped.
B. Increased respiratory rate
Earliest compensatory response to hypoperfusion and hypoxia.
C. Hypotension
Occurs later in shock when compensation fails.
D. Decreased level of consciousness
Suggests advanced shock and poor cerebral perfusion-not earliest.
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