Difficulty: Medium
Average Score: 92%
Simulated
The nurse has just received a change-of-shift report. Which client should the nurse assess first?
Correct answer
A
Rationale
The nurse should assess the client 2 hours post-lobectomy with 150cc drainage first because postoperative assessments are crucial during the immediate postoperative period. This client may be at higher risk for complications, such as bleeding or infection, requiring immediate attention. Clients in choices B, C, and D are relatively stable and can be assessed after the immediate postoperative client has been evaluated.