Which finding in a postoperative client would be of concern to the nurse_

Jun 26, 2020 · a nurse is receiving change-of-shift report for a group of clients. which of the following clients should he nurse attend to first? a. a client who is schedule for discharge and required wound care teaching b. client who is postoperative and requests pain medication before ambulation c. a client who is to receive an antibiotic in 1 hr and has a prescription for a peak and trough level d. a ... 4.The nurse reviews with a client a routine discharge teaching plan concerning postoperative care. Which statement by the client indicates that teaching was effective? 5.Which assessment finding in a postoperative client after general anesthesia requires immediate intervention? 6.In conducting a postoperative assessment of a client, what is important for the nurse to examine first? 7.How does ... May 31, 2013 · This article, the first in a two-part series, identifies the principles of postoperative nursing care. These remain reasonably consistent over the years but nurses must ensure they keep up to date with guidelines, policies and evidence-based practice. Citation: Liddle C (2013) Postoperative care 1: principles of monitoring postoperative patients. Feb 14, 2013 · The nurse is working in a postoperative care unit in an ambulatory surgery center. Of the following clients that have come to have surgery, the client at the greatest risk during surgery is a: Aug 25, 2020 · 1. urine output of 20 ml/hour-rationale: because kidney transplantation carries the risk of transplant rejection, infection, and other serious complications, the nurse should monitor the clients urinary function closely. a decrease from the normal urine output of 30 ml/hour is significant and warrants immediate physician notification. a serum potassium level of 4.9 meq/l, a serum sodium level ... Explanation: The nurse should identify that vagal stimulation might temporarily convert the client's heart rate to normal sinus rhythm. The nurse should have a defibrillator and resuscitation equipment at the client's bedside because vagal stimulation can cause bradydysrhythmias, ventricular dysrhythmias, or asystole. A nurse is caring for a client who is 2 days postoperative following a cholecystectomy. The client has been vomiting for the past 24 hr and reports a pain level of 8 on a scale from 0 to 10. The nurse notes a hard, distended abdomen and absent bowel sounds. The nurse is assigned to a client with insulin-dependent diabetes who was brought to the emergency department because of shortness of breath and confusion. On admission, the client’s blood glucose level is 720 mg/ml, and ABG (arterial blood gas) values are pH of 7.28, PaCO 2 of 35 mm Hg, and bicarbonate level of 15 mEq/L. The nurse is assigned to a client with insulin-dependent diabetes who was brought to the emergency department because of shortness of breath and confusion. On admission, the client’s blood glucose level is 720 mg/ml, and ABG (arterial blood gas) values are pH of 7.28, PaCO 2 of 35 mm Hg, and bicarbonate level of 15 mEq/L. The nurse assesses a client who has just undergone brain surgery and been admitted to the PACU. The nurse notes that the right pupil is 5 mm and the left pupil is 3 mm. What is the nurse’s best first action? a. Comparing these findings to the client’s baseline neurologic assessment b. Raising the head of the bed up to a 30-degree angle c. Jun 23, 2014 · 37. A nurse assesses a client shortly after living donor kidney transplant surgery. Which postoperative finding must the nurse report to the physician immediately? a. Serum sodium level of 135 mEq/L b. Serum potassium level of 4.9 mEq/L c. Temperature of 99.2° F (37.3° C) d. Urine output of 20 ml/hour The client has no relief of the chest pain, shortness of breath, or edema and only minimal urine output (less than 40 mL of urine). The health care provider is notified, and after reviewing the chart, suspects the client has syndrome of inappropriate antidiuretic hormone (SIADH). Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics and finding help online is near to impossible. A nurse is assigned a group of postoperative clients. Which finding should be of MOST concern to the nurse? 1. Pulse oximetry 88%. 2. Nonproductive cough. 3. Shallow respirations 22/min. 4. Scattered pulmonary crackles bilaterally A postoperative client asks the nurse why it is so important to deep-breathe and cough after surgery. When formulating a response, the nurse incorporates the understanding that retained pulmonary secretions in a postoperative client can lead to which condition? 1. Pneumonia 2. Hypoxemia 3. Fluid imbalance 4. Pulmonary embolism The nurse monitors the patient for signs and symptoms of hypo-volemic shock: increased pulse rate, decreased blood pressure, urine output less than 30 mL per hour, restlessness, change in mentation, thirst, decreased hemoglobin and hematocrit. The nurse reports these findings to the orthopedic surgeon and assists in appropriate management. 4.The nurse reviews with a client a routine discharge teaching plan concerning postoperative care. Which statement by the client indicates that teaching was effective? 5.Which assessment finding in a postoperative client after general anesthesia requires immediate intervention? 6.In conducting a postoperative assessment of a client, what is important for the nurse to examine first? 7.How does ... Which finding causes the nurse the greatest concern? Answers: a. Redness and swelling around the incision b. Serosanguineous drainage on the dressing c. Crusting along the incision line d. Sanguineous drainage at the suture site Question 10 1 out of 1 points A client is scheduled for a below-the-knee The nurse caring for the patient preoperatively is likely to be different from the nurse in the operating room (OR), postanesthesia care unit (PACU), surgical intensive care unit (SICU), or surgical unit. Thus com. munication and documentation of important preoperative assessment findings are essential for the continuity of care. Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Text Mode – Text version of the exam 1. When caring for a client with a post right ... ANS: 2. The client who smokes is at greater risk for postoperative pulmonary complications than a client who does not. An IV should be in place for surgery so access is available to administer medications, fluids, or blood products if necessary. 4.The nurse reviews with a client a routine discharge teaching plan concerning postoperative care. Which statement by the client indicates that teaching was effective? 5.Which assessment finding in a postoperative client after general anesthesia requires immediate intervention? 6.In conducting a postoperative assessment of a client, what is important for the nurse to examine first? 7.How does ... Jun 12, 2020 · When assessing a patient’s surgical dressing on the first postoperative day, the nurse notes new, bright-red drainage about 5 cm in diameter. In response to this finding, what should the nurse do first? A) Recheck in 1 hour for increased drainage. B) Notify the surgeon of a potential hemorrhage. Jul 07, 2018 · Postoperative care is the care you receive after a surgical procedure. The type of postoperative care you need depends on the type of surgery you have, as well as your health history. A nurse is monitoring the status of the postoperative client. The nurse would become most concerned with which of the following signs, which could indicate an evolving complication? 1. Blood pressure of 110/70 mm Hg with a pulse of 86 beats per minute 2. Increasing restlessness 3. Hypoactive bowel sounds in all four quadrants 4. A negative Homans’ sign a. The pt’s lack of knowledge about postoperative pain control measures b. The pt’s statement that her last menstrual period was 8 weeks previously c. The pt’s hx of a postoperative infection following a prior cholecystectomy d. The pt’s concern that she will be unable to care for her children postoperatively 15. A nurse assesses a client in the preoperative holding area and finds brittle nails and hair, dry skin turgor, and muscle wasting. What action by the nurse is best? a. Consult the surgeon about a postoperative dietitian referral. b. Document the findings thoroughly in the clients chart. c. Encourage the client to eat more after recovering ... Aug 25, 2020 · 1. urine output of 20 ml/hour-rationale: because kidney transplantation carries the risk of transplant rejection, infection, and other serious complications, the nurse should monitor the clients urinary function closely. a decrease from the normal urine output of 30 ml/hour is significant and warrants immediate physician notification. a serum potassium level of 4.9 meq/l, a serum sodium level ... The nurse receives a client to the unit from the post-anesthesia care unit for a craniotomy for a tumor biposy. The client was extubated approximately 45 minutes before arrival to the unit. The client has a right internal jugular central venous catheter and left radial arterial line that were placed during the case. A nurse is monitoring a client who has undergone subtotal thyroidectomy for signs of postoperative complications. Which of the following findings would be a matter of concern for the nurse as an indication of hypocalcemia? a nurse is assessing a client who is postoperative and a history of pulmonary embolism . which of the following findings is the priority for the nurse to report to the provider Expert Answer Previous question Next question the nurse is instructing an adolescent with bulimia and a low potassium level about the risk for complications. which medical problem should be the focus of the nurse's instruction to this client? the nurse plans to mix a medication with food to make it more palatable for a pediatric client. which food should the nurse choose? May 07, 2019 · B) Confusion, restlessness, and agitation are normal postoperative findings and will diminish in time. Jun 12, 2020 · When assessing a patient’s surgical dressing on the first postoperative day, the nurse notes new, bright-red drainage about 5 cm in diameter. In response to this finding, what should the nurse do first? A) Recheck in 1 hour for increased drainage. B) Notify the surgeon of a potential hemorrhage. The nurse assesses a client who has just undergone brain surgery and been admitted to the PACU. The nurse notes that the right pupil is 5 mm and the left pupil is 3 mm. What is the nurse’s best first action? a. Comparing these findings to the client’s baseline neurologic assessment b. Raising the head of the bed up to a 30-degree angle c. A nurse is monitoring a client who has undergone subtotal thyroidectomy for signs of postoperative complications. Which of the following findings would be a matter of concern for the nurse as an indication of hypocalcemia? The nurse caring for the patient preoperatively is likely to be different from the nurse in the operating room (OR), postanesthesia care unit (PACU), surgical intensive care unit (SICU), or surgical unit. Thus com. munication and documentation of important preoperative assessment findings are essential for the continuity of care. Which postoperative finding must the nurse report to the physician immediately? A nurse assesses a client shortly after living donor kidney transplant surgery. A. Serum potassium level of 4.9 mEq/L B. Serum sodium level of 135 mEq/L C. Temperature of 99.2° F (37.3° C) D. Urine output of 20 ml/hour Serosanguineous discharge persisting past the 5th postoperative day may indicate wound dehiscence and would be reported to the surgeon. The nurse would not just reinforce the dressing, but would notify the surgeon. Serosanguineous discharge does not indicate infection. Persistent serosanguineous discharge is an abnormal finding and to be reported. The primary concern is the clients airway owing to muscular weakness. Because the client cannot raise the head and has a weak hand grasp, this may be a potential problem. The nurse should document all assessment findings. Placing the client in Fowlers position and checking the pulses is not warranted. the nurse is instructing an adolescent with bulimia and a low potassium level about the risk for complications. which medical problem should be the focus of the nurse's instruction to this client? the nurse plans to mix a medication with food to make it more palatable for a pediatric client. which food should the nurse choose? The nurse caring for the patient preoperatively is likely to be different from the nurse in the operating room (OR), postanesthesia care unit (PACU), surgical intensive care unit (SICU), or surgical unit. Thus com. munication and documentation of important preoperative assessment findings are essential for the continuity of care. A postoperative client asks the nurse why it is so important to deep-breathe and cough after surgery. When formulating a response, the nurse incorporates the understanding that retained pulmonary secretions in a postoperative client can lead to which condition? 1. Pneumonia 2. Hypoxemia 3. Fluid imbalance 4. Pulmonary embolism The postoperative period begins immediately after surgery and continues until the patient is discharged from medical care. This chapter focuses on the common features of postoperative nursing care of the surgical patient. Specific surgical procedures are discussed in the appropriate chapters of this text. A nurse is caring for a client who has a benign brain tumor. The client asks the nurse if he can expect this same type of tumor to occur in other areas of his body. The nurse caring for the patient preoperatively is likely to be different from the nurse in the operating room (OR), postanesthesia care unit (PACU), surgical intensive care unit (SICU), or surgical unit. Thus com. munication and documentation of important preoperative assessment findings are essential for the continuity of care.

Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Text Mode – Text version of the exam 1. When caring for a client with a post right ... A postoperative client’s arterial blood gas (ABG) values are pH 7.36, 21 mEq/L, Pa CO 2 35 mm Hg, Pa O 2-98 mm Hg. What is the nurse’s priority action? What is the nurse’s priority action? A. Compare these values with the client’s preoperative ABG values. May 31, 2013 · This article, the first in a two-part series, identifies the principles of postoperative nursing care. These remain reasonably consistent over the years but nurses must ensure they keep up to date with guidelines, policies and evidence-based practice. Citation: Liddle C (2013) Postoperative care 1: principles of monitoring postoperative patients. Oct 10, 2016 · Postoperative Assessment Stoma Assessment Anatomic Location and Function Stoma Construction/Type Stoma Assessment Stoma Mucosa Stoma Structure Peristomal Skin Postoperative Planning Conclusions Postoperative Assessment Following the surgical procedure to create an intestinal stoma, a thorough patient assessment and understanding of the surgical procedure must be completed in order to plan care. Jun 23, 2014 · 37. A nurse assesses a client shortly after living donor kidney transplant surgery. Which postoperative finding must the nurse report to the physician immediately? a. Serum sodium level of 135 mEq/L b. Serum potassium level of 4.9 mEq/L c. Temperature of 99.2° F (37.3° C) d. Urine output of 20 ml/hour A postoperative client’s arterial blood gas (ABG) values are pH 7.36, 21 mEq/L, Pa CO 2 35 mm Hg, Pa O 2-98 mm Hg. What is the nurse’s priority action? What is the nurse’s priority action? A. Compare these values with the client’s preoperative ABG values. If a postoperative client’s oxygen saturation (SaO2) drops below 95% (or the client’s baseline), the nurse should notify the anesthesia provider. If the SaO2 drops by 10% or more, the nurse should call the Rapid Response Team. Since this is approximately a 3% drop, the nurse should further assess the client. A nurse is monitoring the status of the postoperative client. The nurse would become most concerned with which of the following signs, which could indicate an evolving complication? 1. Blood pressure of 110/70 mm Hg with a pulse of 86 beats per minute 2. Increasing restlessness 3. Hypoactive bowel sounds in all four quadrants 4. A negative Homans’ sign The nurse is assigned to a client with insulin-dependent diabetes who was brought to the emergency department because of shortness of breath and confusion. On admission, the client’s blood glucose level is 720 mg/ml, and ABG (arterial blood gas) values are pH of 7.28, PaCO 2 of 35 mm Hg, and bicarbonate level of 15 mEq/L. Serosanguineous discharge persisting past the 5th postoperative day may indicate wound dehiscence and would be reported to the surgeon. The nurse would not just reinforce the dressing, but would notify the surgeon. Serosanguineous discharge does not indicate infection. Persistent serosanguineous discharge is an abnormal finding and to be reported. A nurse is assigned a group of postoperative clients. Which finding should be of MOST concern to the nurse? 1. Pulse oximetry 88%. 2. Nonproductive cough. 3. Shallow respirations 22/min. 4. Scattered pulmonary crackles bilaterally The nurse caring for the patient preoperatively is likely to be different from the nurse in the operating room (OR), postanesthesia care unit (PACU), surgical intensive care unit (SICU), or surgical unit. Thus com. munication and documentation of important preoperative assessment findings are essential for the continuity of care. Jun 12, 2020 · When assessing a patient’s surgical dressing on the first postoperative day, the nurse notes new, bright-red drainage about 5 cm in diameter. In response to this finding, what should the nurse do first? A) Recheck in 1 hour for increased drainage. B) Notify the surgeon of a potential hemorrhage. 15. A nurse assesses a client in the preoperative holding area and finds brittle nails and hair, dry skin turgor, and muscle wasting. What action by the nurse is best? a. Consult the surgeon about a postoperative dietitian referral. b. Document the findings thoroughly in the clients chart. c. Encourage the client to eat more after recovering ... Jun 01, 2020 · A postoperative client receives a dinner tray with gelatin, pudding, and vanilla ice cream. Based on the foods on the client’s tray, what would the nurse anticipate the client’s current diet order to be: Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Text Mode – Text version of the exam 1. When caring for a client with a post right ... A nurse is caring for a client who is 2 days postoperative following a cholecystectomy. The client has been vomiting for the past 24 hr and reports a pain level of 8 on a scale from 0 to 10. The nurse notes a hard, distended abdomen and absent bowel sounds. Jun 26, 2020 · a nurse is receiving change-of-shift report for a group of clients. which of the following clients should he nurse attend to first? a. a client who is schedule for discharge and required wound care teaching b. client who is postoperative and requests pain medication before ambulation c. a client who is to receive an antibiotic in 1 hr and has a prescription for a peak and trough level d. a ... 14. A labor and delivery nurse notes a pattern of late decelerations on the fetal monitor. Which priority action should the nurse take at this time? 15. The surgical unit nurse reassesses the condition of a postoperative client who was transferred to the unit 2 hours ago. Which data obtained at this time is of concern to the nurse? Select all ... The answer to this question is answer choice C- client’s description of pain. When a nurse is assessing a postoperative client, the nurse should document the client’s description of pain as subjective data. The meaning of subjective is something that is considered an opinion or cannot be proven through tests. Jun 01, 2020 · A postoperative client receives a dinner tray with gelatin, pudding, and vanilla ice cream. Based on the foods on the client’s tray, what would the nurse anticipate the client’s current diet order to be: Feb 12, 2020 · Postoperative client receives a dinner tray with gelatin, pudding, and vanilla ice cream. Based on the foods on the client's tray, what would the nurse Can you arrange in sequence the dietary progression from 1 to 4: 1. Jun 12, 2020 · When assessing a patient’s surgical dressing on the first postoperative day, the nurse notes new, bright-red drainage about 5 cm in diameter. In response to this finding, what should the nurse do first? A) Recheck in 1 hour for increased drainage. B) Notify the surgeon of a potential hemorrhage. A nurse is assigned a group of postoperative clients. Which finding should be of MOST concern to the nurse? 1. Pulse oximetry 88%. 2. Nonproductive cough. 3. Shallow respirations 22/min. 4. Scattered pulmonary crackles bilaterally May 31, 2013 · This article, the first in a two-part series, identifies the principles of postoperative nursing care. These remain reasonably consistent over the years but nurses must ensure they keep up to date with guidelines, policies and evidence-based practice. Citation: Liddle C (2013) Postoperative care 1: principles of monitoring postoperative patients. The nurse caring for the patient preoperatively is likely to be different from the nurse in the operating room (OR), postanesthesia care unit (PACU), surgical intensive care unit (SICU), or surgical unit. Thus com. munication and documentation of important preoperative assessment findings are essential for the continuity of care. The nurse receives a client to the unit from the post-anesthesia care unit for a craniotomy for a tumor biposy. The client was extubated approximately 45 minutes before arrival to the unit. The client has a right internal jugular central venous catheter and left radial arterial line that were placed during the case. a. The pt’s lack of knowledge about postoperative pain control measures b. The pt’s statement that her last menstrual period was 8 weeks previously c. The pt’s hx of a postoperative infection following a prior cholecystectomy d. The pt’s concern that she will be unable to care for her children postoperatively