Author Question: The LPN/LVN will be responsible for collecting data on the postoperative client. Priority ... (Read 46 times)

penguins

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The LPN/LVN will be responsible for collecting data on the postoperative client. Priority assessments include: Standard Text: Select all that apply.
 
  1. Observing the client's orientation to time, person, and place.
  2. Taking the client's vital signs every hour until the client is stable.
  3. Indicators of tissue perfusion.
  4. Patency of drains.
  5. Fluid balance.

Question 2

The nurse is caring for a client in the preoperative phase of surgery. Nursing interventions include: Standard Text: Select all that apply.
 
  1. Checking to be sure ordered test results are place in the medical record.
  2. Performing preoperative teaching.
  3. Assessing vital signs and pain.
  4. Encouraging deep breathing.
  5. Encouraging the client to turn from side to side.



jsm54321

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Answer to Question 1

1,3,4,5
Rationale: Assessing the client's level of consciousness is a priority assessment; this will affect the client's respiratory status.

Answer to Question 2

1,2
Rationale: Preparing the client's chart with the results from preoperative diagnostic or screening tests and examinations is a preoperative nursing responsibility.



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