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Author Question: A nurse assesses a client after a thoracentesis. Which assessment finding warrants immediate action? ... (Read 24 times)

saliriagwu

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on: Jun 25, 2018
A nurse assesses a client after a thoracentesis. Which assessment finding warrants immediate action?
 
  a. The client rates pain as a 5/10 at the site of the procedure.
  b. A small amount of drainage from the site is noted.
  c. Pulse oximetry is 93 on 2 liters of oxygen.
  d. The trachea is deviated toward the opposite side of the neck.

Question 2

A nurse is assessing a client who is recovering from a lung biopsy. Which assessment finding requires immediate action?
 
  a. Increased temperature
  b. Absent breath sounds
  c. Productive cough
  d. Incisional discomfort


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emily12345

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Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: D
A deviated trachea is a manifestation of a tension pneumothorax, which is a medical emergency. The other findings are normal or near normal.

Answer to Question 2

ANS: B
Absent breath sounds may indicate that the client has a pneumothorax, a serious complication after a needle biopsy or open lung biopsy. The other manifestations are not life threatening.


saliriagwu

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Reply 2 on: Jun 25, 2018
Excellent

aliotak

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Reply 3 on: Yesterday
Great answer, keep it coming :)

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