QuestionJune 9, 2025

Which action would the nurse take first when caring for a client who has just returned to the intensive care unit after open-heart surgery? Elevate the head of the bed to 30 degrees. Suction the dient through the endotracheal tube. Check the pulse oximeter for oxygen saturation. Auscultate the client's heart and lung sounds.

Which action would the nurse take first when caring for a client who has just returned to the intensive care unit after open-heart surgery? Elevate the head of the bed to 30 degrees. Suction the dient through the endotracheal tube. Check the pulse oximeter for oxygen saturation. Auscultate the client's heart and lung sounds.
Which action would the nurse take first when caring for a client who has just returned to
the intensive care unit after open-heart surgery?
Elevate the head of the bed to 30 degrees.
Suction the dient through the endotracheal tube.
Check the pulse oximeter for oxygen saturation.
Auscultate the client's heart and lung sounds.

Solution
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Answer

Check the pulse oximeter for oxygen saturation. Explanation 1. Prioritize Immediate Assessment The first action should be to assess the client's current status. Checking the pulse oximeter for oxygen saturation provides immediate information about the client's respiratory and circulatory status, which is critical after open-heart surgery.

Explanation

1. Prioritize Immediate Assessment<br /> The first action should be to assess the client's current status. Checking the pulse oximeter for oxygen saturation provides immediate information about the client's respiratory and circulatory status, which is critical after open-heart surgery.
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