The postanesthesia care unit nurse is caring for a client who has just undergone an open Whipple procedure. The client has multiple tubes and drains in place after the surgery. Which does the nurse assess first?
a. Endotracheal tube with 40% fraction of inspired oxygen (FiO2)
b. Foley catheter to bedside drainage
c. Nasogastric tube to low intermittent suc-tion
d. Triple-lumen IV catheter with lactated Ringer's solution
A
Using the ABCs, airway and oxygenation status should always be assessed first. Next, the nurse should assess the IV line (circulation). After that, the other two items can be assessed.
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