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Chapter 23: Problem 55

A client with hepatitis \(\mathrm{C}\) returned from a liver biopsy with complaints of shortness of breath. Which assessment should the nurse make first? A. Auscultation of breath sounds B. Liver biopsy site assessment C. Mental status D. Motor strength and movement of extremities

Short Answer

Expert verified
Answer: A. Auscultation of breath sounds

Step by step solution

01

Identify the primary concern of the patient

The client's main complaint is shortness of breath. This indicates a potential respiratory issue, which can be time-sensitive and requires immediate attention.
02

Evaluate the given options

We need to consider which of the given options addresses the shortness of breath most directly. A. Auscultation of breath sounds - This option involves assessing the quality of the patient's breathing, which is directly related to the main complaint. B. Liver biopsy site assessment - This option is related to the patient's recent procedure but doesn't directly address their shortness of breath. C. Mental status - Although mental status can be important in assessing the overall well-being of a patient, it doesn't directly address their shortness of breath. D. Motor strength and movement of extremities - This option addresses the patient's mobility, but not their primary concern, which is shortness of breath.
03

Choose the most appropriate first assessment

After evaluating the given options, the most appropriate first assessment to address the patient's primary concern is: A. Auscultation of breath sounds
04

Provide the correct answer

The nurse should make the following first assessment on this client with hepatitis C, who returned from a liver biopsy with complaints of shortness of breath: A. Auscultation of breath sounds

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