Answer to Question 1
D
An ambulatory surgical patient meets discharge criteria when no IV narcotics have been administered for the past 30 minutes, a responsible adult is present to accompany the patient home, respiratory depression is not present, and oxygen saturation is greater than 90.
Answer to Question 2
A, B, C, D
If hematoma or hemorrhage is present at the catheter insertion site, apply pressure over the insertion site, and notify the health care provider or physician if interventions do not stop the bleeding, or if the patient demonstrates symptoms of acute blood loss (hypotension, tachycardia). If the patient has an allergic reaction to contrast medium manifested by symptoms of flushing, itching, and urticaria, continue monitoring the patient and assess for anaphylaxis. Notify the health care provider. Renal toxicity from contrast can be detected by monitoring intake and output. Urine output of less than 30 mL/hour is a sign of renal toxicity. Low back pain radiating to both sides of the body is a hallmark sign of retroperitoneal bleeding.
Awareness of cultural and religious norms and customs will help you deliver appropriate nursing care
A nurse shows empathy to a client.
Sequence of patient positions for heart auscultation
An ultrasound being performed on a patient.
Equipment Used During the Physical Assessment
The nurse begins the general survey