Test: NCLEX-PN

A client had just undergone a total right knee replacement and has just returned from the operating room. Later that evening, the client suddenly begins to complain of shortness or breath and chest pain on inspiration. The nurse caring for this client further notes the coughing up of blood and that he is sweating profusely.

1.

Which of the following nursing interventions should the nurse perform first? 

Draw blood for arterial blood gasses (ABG's)

Auscultate for breath sounds

Assess the client's mental status

Place in Fowler's position

Give oxygen

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