The nurse admitted a patient with clear lungs and 2 days later determines that the patient has fluid in the left lung. Which should the nurse implement next?
a. Place the patient in high-Fowler's position.
b. Obtain a stat portable chest x-ray film.
c. Notify the healthcare provider imme-diately.
d. Complete a full respiratory assessment.
D
Because this is a new finding for the patient, the nurse facilitates suitable patient care by obtain-ing a comprehensive patient assessment to communicate to the healthcare provider. There are no data indicating that the patient is in respiratory distress. The nurse needs an order for a chest x-ray film. The nurse should notify the healthcare provider promptly, but he or she needs to finish the complete respiratory examination first as long as the patient is not in acute distress.
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A __________ is the creation of an internal reservoir for the storage of GI effluent
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While documenting patient care, the nurse notes that a postpartum patient is accepting the birth of the child well. What did the nurse most likely observe to come to this conclusion?
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