Author Question: After discharge from the PACU, the client returned to the surgical nursing unit at 10:00 A.M. It is ... (Read 57 times)

rlane42 · **on:** Jul 22, 2018

After discharge from the PACU, the client returned to the surgical nursing unit at 10:00 A.M. It is now 11:30 A.M. and the client is not experiencing any complications or difficulties.

How often should the nurse plan to measure the client's vital signs? a. Every 15 minutes
b. Every 30 minutes
c. Every hour
d. Every four hours

Question 2

After abdominal surgery, the nurse suspects that the client may have internal bleeding. Which of the following findings is indicative of this complication?

a. Increased blood pressure
b. Incisional pain
c. Abdominal distension
d. Increased urinary output

izzat · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Vital sign monitoring on the postoperative nursing unit should initially be hourly for four hours, and then every four hours, unless complications develop.
On the client's arrival in recovery, the nurse repeats vital sign monitoring every 15 minutes, but not for the client who is stable on the surgical nursing unit.
The client who is not experiencing any complications or difficulties does not require vital sign measurement every 30 minutes.
After the client's vital signs are obtained hourly for four hours and remain stable, the client may have his or her vital signs measured every four hours.

Answer to Question 2

C
Distension will develop if the internal bleeding occurs. This is a late sign of bleeding.
The client who is hemorrhaging will have a decreased blood pressure.
Incisional pain may occur as a result of surgery. A continuous increase in pain in conjunction with other symptoms of bleeding may indicate internal hemorrhaging.
A client who is bleeding will have a decreased urinary output.