After receiving a change-of-shift report, the nurse should assess which client first?

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The client who just underwent a bronchoscopy is at risk for becoming unstable. During a bronchoscopy, the larynx, trachea, and bronchi are visualized using an endoscope while the client is under sedation. Respiratory status, airway patency, vital signs, and sedation level should be assessed immediately upon return from the procedure and at regular intervals until the client becomes stable. The client must be kept NPO until alert with a positive gag reflex. (Option A) Clients with a positive tuberculin skin test and hemoptysis may have tuberculosis. They will need a chest x-ray and sputum culture to confirm the diagnosis and may be initiated on an antitubercular medication regimen. However, this client does not require immediate attention. (Option B) The nurse should address any factors that may cause a client to refuse incentive spirometry (eg, pain). This client may require education on the importance of incentive spirometry (eg, prevention of atelectasis and pneumonia) or administration of PRN analgesics to encourage participation in deep-breathing exercises. However, this client does not require immediate attention. (Option D) Air bubbles in the suction control chamber of a chest tube drainage system would be a normal finding. Air bubbles in the water seal chamber may indicate a leak and would require immediate intervention. Educational objective: Clients returning from procedures performed under sedation should receive priority assessment of vital signs and respiratory status.

After Receiving a Change-Of-Shift Report, the Nurse Should Assess Which