HESI Compass exit proctored exam
A postoperative client returns to the nursing unit following a ureterolithotomy via a flank incision. Which potential problem has the highest priority when planning nursing care for this client?
Explanation & Rationale
Choice A reason: Activity intolerance is important but not the highest priority immediately after surgery.Choice B reason: Fluid volume excess can be a concern but is not as critical as ensuring effective airway clearance.Choice C reason: Ineffective airway clearance is the highest priority as it directly impacts the client’s ability to breathe and maintain adequate oxygenation, which is crucial for postoperative recovery.Choice D reason: Altered nutrition is also important but is not the immediate priority compared to airway clearance.
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