A Document the assessment finding in the chart. Jackson expresses fear that she might accidentally overdose herself, since she will be sleepy after surgery. Here is Perioperative Post Merge: B Case Outcome Ms. Are vaccines safe for children? A Disturbed body image. At what rate should the IV infuse?
B Observe the appearance of the sputum. Changes in the color, consistency, or amount of sputum are common in clients with pneumonia. CORRECT During the immediate postanesthesia period, the unconscious client should be positioned on the side to maintain an open airway and promote drainage of secretions. What lab data is important for the nurse to report to the surgeon? C Determine the client’s temperature.
D Wound healing via secondary intention. Biology Forums – Study Force is the leading provider of online homework help for college and high school students. D Measure the client’s blood pressure. Jackson’s medical record and notes that the surgical consent form is filled out but is not signed by answes client.
D “Those are now called pressure ulcers because they are caused by pressure. B Call the operating room and notify the staff that perioperatibe surgery needs to be cancelled.
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At what rate should the IV infuse? Jackson’s bowel sounds are hypoactive. Dull or absent breath sounds, along with changes in breathing patterns, are expected findings when atelectasis occurs. D Postoperative Assessment The nurse continues the postoperative assessment. Jackson’s room to begin the transfusion, the UAP is giving Ms.
A 8 drops per minute. What lab data is important for the nurse to report to the surgeon?
Changes in the color, consistency, or amount of sputum are sthdy in clients with pneumonia. Talking about pain brings back so many memories. C When the nurse begins teaching about the benefits of early mobilization following surgery, Ms.
D Dressing Change After Ms. C Once the OR team has caree in the room, the circulating nurse calls for a time out. D Administer a laxative prescribed for PRN use.
B Observe the surgical dressing. She continues to receive physical therapy until she is once again completely independent. C The nurse discusses postoperative pain management with Ms.
A Compress the drain and re-establish suction. D Incision well-approximated aanswers no drainage. B Maintaining a safe environment reduces client depression. D Use sterile technique to replace the dressing.
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D “You need to focus on your own needs now and not on past memories. While obtaining supplies, the nurse reviews the sterile procedure to be followed. C While cleansing the incision, the nurse observes that the staples are intact, but a 2 cm gap has opened at the bottom of the incision.
Jackson ambulates with the physical therapist, the nurse prepares to change the surgical dressing. A “We do not need to talk about pain control today if it makes you sad. A After completing the admission interview, the nurse reviews Ms.
Jackson had a left hip replacement under general anesthesia.
INCORRECT The nurse may observe the mucosa for signs of fluid volume deficit since the client is taking a diuretic, but since the client is receiving an established daily dose, this is not the most important preoperative intervention.
A The nurse reviews the medications taken by Ms.