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What would the nurse expect to initially assess in a client experiencing acute respiratory failure?

The nurse is obtaining a daily weight on a client who was admitted 3 days earlier and notices that the client has gained 5 pounds since admission. What is the priority action of the nurse?

The health care provider removed the chest tube due to lung re-expansion. The health care provider placed a dressing over the wound site. What is important for the nurse to assess if a pneumothorax reoccurs? 

The nurse is caring for a client with a magnesium level of 0.8 mEq/L. The nurse should closely monitor the client’s cardiac rhythm for: 

The nurse is caring for a client with vomiting and diarrhea.  Which signs and symptoms would the nurse expect to assess with the client having fluid deficit? (Select all that apply). Directions: See the list of signs and symptoms below and select the most appropriate signs and symptoms. 1. Full, bounding pulse 2. Heart rate 130 beats per minute 3. Weakness, dizziness 4. Blood pressure 160/90 mmHg 5. Crackles throughout all lung fields

The client recently had surgery and all of sudden developed a pulmonary embolism. What does the nurse anticipate to assess? (Select all that apply). Directions: See the list of signs and symptoms below and select the most appropriate signs and symptoms. 1. Bradypnea 2. Stridor 3. Dyspnea, cough 4. Chest pain with inspiration  5. Anxiety

A client was involved in a motor vehicle accident and develops a pneumothorax. Which findings will the nurse assess?

A client is receiving Lovenox, a low molecular weight of heparin (LMWH) postoperatively. In preparing to administer Lovenox to the client, the nurse knows to: 

The nurse is performing an assessment of a client who smokes and is being admitted on the day of surgery.  Which assessment data is priority for the nurse to report to the anesthesia care provider?

Extra credit Question: Worth 0.5 point The nurse is assisting the health care provider with a thoracentesis procedure of a client. What is the priority nursing care for a thoracentesis procedure?