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The nurse is caring for a patient following a thoracotomy. Which of the following findings requires immediate intervention by the nurse? a) Moderate amounts of colorless sputum b) Chest tube drainage of 190 mL/hr c) Pain of 5 on a 1 to 10 pain scale d) Heart rate: 112 bpm

The nurse is caring for a patient following a thoracotomy. Which of the following findings requires immediate intervention by the nurse?

a) Moderate amounts of colorless sputum
b) Chest tube drainage of 190 mL/hr
c) Pain of 5 on a 1 to 10 pain scale
d) Heart rate: 112 bpm

 
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