The LPN notes that the RN, in the care plan for a client who transferred from ICU 2 days post-op thoracic surgery, selected ‘‘Impaired gas exchange related to decreased lung expansion, impaired lung function, and surgical procedure.’’ Which interventions are of primary importance for the care of this client? Select all that apply.
1. Thirty minutes after administering pain medication, ask the client to rate his pain on a scale of 1 to 10.
2. Assess the client’s dressings and incisions for increased drainage.
3. Monitor client’s temperature at least every 4 hours.
4. Remind the client to deep breathe and cough at least every 2 hours.
5. Reposition the client so that the head is elevated 30 to 40.
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