A nurse is caring for a client who is 1 day postoperative fo…

A nurse is caring for a client who is 1 day postoperative following a right-sided thoracotomy with a chest tube insertion. A nurse prioritizes care after completing the assessment and initiates the following action(s). Choose from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress. Click on the diagram below to indicate your response unit 3 bowtie.PNG

The nurse, caring for a client following an anterior MI, obt…

The nurse, caring for a client following an anterior MI, obtains the assessment findings illustrated. Based on these findings, the nurse should immediately notify the HCP and plan which intervention?  the nurse, caring for a client following an anterior MI.PNG  

The nurse learns in a report that the client with a closed c…

The nurse learns in a report that the client with a closed chest tube drainage system has had clear but slightly diminished breath sounds in the lung bases. The reporting nurse stated that there was 280 mL of tan-colored drainage in the collection chamber in the previous 8-hour shift. The nurse assesses the client at the beginning of the shift and notes clear but slightly diminished breath sounds in the bases and 300 mL of bloody drainage in the collection chamber within the last hour. Which nursing action is most appropriate?