Author Question: The nurse is monitoring a patient in the postanesthesia care unit (PACU) for postoperative fluid and ... (Read 78 times)

biggirl4568 · **on:** Jul 22, 2018

The nurse is monitoring a patient in the postanesthesia care unit (PACU) for postoperative fluid and electrolyte imbalance. Which of the following actions would be most appropriate for this patient?

a. Encourage copious amounts of water.
b. Weigh the patient and compare with preoperative weight.
c. Measure and record all intake and output.
d. Start an additional intravenous (IV) line.

Question 2

The nurse will be teaching the parents of a 3-month-old about basic infant safety. Which of the following should the nurse emphasize?

a. Placing gates or fences at stairways
b. Keeping bathroom doors closed
c. Giving large teething biscuits
d. Removing bibs at bedtime

missalyssa26 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Accurate recording of intake and output assesses renal and circulatory function. Measure and record all sources of intake and output. Encouraging copious amounts of water in a postoperative patient might encourage nausea and vomiting. In the PACU, it is impractical to weigh the patient while waking from surgery, but in the days afterward, it is a good assessment parameter for fluid imbalance. Starting an additional IV is not necessary and is not important at this juncture.

Answer to Question 2

D
Bibs should be removed at bedtime to avoid suffocation or strangulation.
Placing gates or fences at stairways is an appropriate safety measure to prevent falls of the 8- to 12-month-old infant.
Keeping bathroom doors closed is an appropriate safety measure to prevent drowning of the 8- to 12-month-old infant.
Caution should be exercised when giving teething biscuits to a 4- to 7-month-old infant because large chunks may be broken off and aspirated. Teething biscuits are typically not given to a 3-month-old.