The nurse’s assessment of a client 1-day post-op a tracheost…
The nurse’s assessment of a client 1-day post-op a tracheostomy for laryngeal cancer is: T. 100.0 F Apical Heart Rate: 98 bpm RR 28 bpm BP:150/90 SpO2: 86% Thick secretions from the tracheostomy, auscultation of scattered rhonchi throughout The client is restless and anxious. What is the nurse’s priority nursing intervention at this time?