A client is being transferred to a room from the postanesthesia ...

[Mimi]

A client is being transferred to a room from the postanesthesia care unit. Upon transfer, the nurse should:
 
  A. Remove the indwelling urinary catheter
  B. Attach the nasogastric tube to suction
  C. Use a black pen to note the drainage on the dressing
  D. Change the dressing immediately when the client reaches the room

Question 2

MC When measuring Mr. Hendel for knee-high graduated compression stockings, you measure his
 
  A. Leg length from heel to buttocks and calf circumference while he is standing.
  B. Ankle and calf circumference while he is standing.
  C. Leg length to the knee when he is lying down.
  D. Calf circumference and leg length from bottom of heel to bend of knee.

[coreycathey]

Answer to Question 1

C
C. Mark dressing with circle around drainage using a black pen. Never use felt tip marker to mark dressing because ink can bleed into gauze, contaminating incision site.
A and B. Once client is transferred to bed, immediately attach any existing oxygen tubing, hang IV fluids, check IV flow rate, attach NG tube to suction, and place indwelling catheter in drainage position.
D. Reinforce pressure dressing or change simple dressing as ordered and needed.

Answer to Question 2

A