Author Question: Assessment of a client in the postanesthesia care unit or recovery room is documented: A. Every 5 ... (Read 70 times)

kodithompson · **on:** Jul 24, 2018

Assessment of a client in the postanesthesia care unit or recovery room is documented:

A. Every 5 minutes
B. Every 15 minutes
C. Every 30 minutes
D. Hourly

Question 2

A patient is being transferred to a room from the PACU. What should the nurse do upon transfer?

a. Remove the indwelling urinary catheter.
b. Turn off the nasogastric tube suction.
c. Use a black pen to note drainage on the dressing.
d. Change the dressing immediately when the patient reaches the room.

eliasc0401 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

B
A, B, C, and D. Conduct complete assessment of all vital signs. Compare findings with client's normal baseline. Continue assessing vital signs at least every 15 minutes until client stabilizes.

Answer to Question 2

C
Mark the dressing with a circle around the drainage using a black pen. Never use a felt tip marker to mark the dressing because ink can bleed into the gauze, contaminating the incision site. Once the patient is transferred to the bed, immediately attach any existing oxygen tubing, hang IV fluids, check the IV flow rate, attach a nasogastric (NG) tube to suction, and place an indwelling catheter in drainage position. Reinforce the pressure dressing, or change a simple dressing as ordered and needed. First dressing changes most often occur 24 hours postoperatively and usually are done by the physician.