Question

The nurse received a client from the post-anesthesia care unit (pacu) who has a chest tube to a closed drainage system. report from the pacu nurse included drainage in the chest tube at 80 ml of bloody fluid. fifteen minutes after transfer from the pacu, the chest tube indicates drainage as pictured. the client is reporting pain at "8" on a scale of 0 to 10. the first action of the nurse is to:

Answer 1

The first action of the nurse who received a patient that rated his pain at "8" after transferring from the post-anesthesia care unit (PACU), is to assess the patient's pulse and blood pressure. This is to be able to check the patient's vital signs and determine if there is any treatment necessary.