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A Pediatric Client Was Returned to the Unit After a Heart

Question 179

Multiple Choice

A pediatric client was returned to the unit after a heart surgery. Contraptions are: Left chest tube drainage attached to a bottle system; an IVF of D5 NSS at 32 gtts/min; and an NGT to gravity. The client was then attached to a cardiac monitor. What would be the priority nursing intervention:


A) obtain vital signs
B) check the identification bracelet
C) check the IVF level and flow rate
D) measure the drainage of both tubing.

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