The nurse reviews the initial postanesthesia care unit (PACU) flow record and notes that the client is alert and oriented -3 when stimulated,pulse is 88 per minute and regular,respirations are 12 per minute and unlabored,and oxygen saturation is 95% on 2 LPM of nasal oxygen.What is the nurse's priority action at this time?
A) Examine the surgical site; obtain blood pressure and temperature.
B) Suction the client and assess anterior and posterior lung sounds.
C) Assess urinary output,the IV site,and the client's pain.
D) Turn the client and perform chest physiotherapy.
Correct Answer:
Verified
Q1: The nurse assesses a client who has
Q2: A client who is being admitted to
Q3: The nurse is assessing a client admitted
Q4: The nurse is caring for a client
Q5: A client who has just been transferred
Q7: The nurse is caring for a client
Q8: A client is brought to the postanesthesia
Q9: The nurse is caring for several clients
Q10: The nurse is caring for a client
Q11: The nurse is performing a hand-off report
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