A client has undergone a pleurodesis. The priority nursing action after the procedure is to assess the client's
a. respiratory status.
b. urine output.
c. vital signs.
d. wound site.
A
Pleural space obliteration creates permanent changes and can create compromised respiratory function. Therefore the priority assessment in this case is of respiratory status.
You might also like to view...
When developing the nursing care plan for a client with dissociative identity disorder (DID), the nurse knows that one of the major goals of therapy is to assist the client in:
a. Naming all personalities for clarification b. Integrating the personalities into one functional personality c. Realizing when different personalities are about to emerge d. Learning how to move from one personality to another
The nurse is explaining induction of labor to a client. The client asks what the indications for labor induction are. Which of the following should the nurse include when answering the client?
A. Suspected placenta previa B. Breech presentation C. Prolapsed umbilical cord D. Hypertension
According to Anderson and McFarlane's model, a community health assessment must include
1. Organized efforts to protect, promote and restore health. 2. Information about the subsystems and patterns of interactions among subsystems of the total community 3. Quantifiable data that can be used in a community health risk assessment. 4. Information about the demographics of the community
The nurse is caring for a patient who is scheduled to undergo a surgical procedure. The nurse is completing an assessment and reviews the patient's laboratory tests and allergies. In which perioperative nursing phase would this work be completed?
a. Perioperative b. Preoperative c. Intraoperative d. Postoperative