The nurse is caring for a client after a thoracentesis. Which assessment finding by the nurse warrants immediate action?
a. Client rates pain as 5/10 at the site of the procedure.
b. Small amount of drainage is noted from the site.
c. Pulse oximetry is 93% on 2 liters of oxy-gen.
d. Trachea is deviated toward opposite side of the neck.
D
A deviated trachea is a manifestation of a tension pneumothorax, which is a medical emergency. The other findings are normal or near-normal.
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A patient who has undergone a modified mastectomy with ALND has developed lymphedema. What specialist would the nurse expect this patient to be referred to?
A) Speech B) Psychologist C) Dietician D) Rehabilitation
Which is an unlikely cause for conductive hearing loss that may occur during the aging process?
1) Impacted cerumen 2) Degeneration of the middle ear bones 3) Tympanic membrane thickening 4) Organ of Corti atrophy
A nurse is using the decision-making process. Which action should be taken first?
a. Evaluate the out-come. c. Set the objective. b. Identify and eva-luate options. d. Implement the op-tions.
Calculate the amount to administer: ________.
Ordered: Cephalexin 0.6 g PO qidSee label for dose on hand
Fill in the blank(s) with the appropriate word(s).