A surgical procedure has just been concluded for a client who received a general anesthetic. Place the interventions in order of implementation. (Select in order of priority.)
a. Determining pain response
b. Assessing the IV
c. Taking the client's vital signs
d. Applying warmed blankets
d, c, a, b
First, warm blankets are applied for client comfort, because the client will start shivering as an effect of the general anesthesia. Next, vital signs should be taken, then pain assessed. Finally, the nurse can assess the IV.
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The nurse is caring for a high-risk client in the second stage of labor. After which actions should the nurse assess the fetal heart rate? Select all that apply
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