During assessment of a postoperative patient, the nurse discovers ...

[jho37]

During assessment of a postoperative patient, the nurse discovers that the pulse is rapid, blood pressure has decreased, urinary output has decreased, and the dressing is dry. The nurse recognizes these findings as indicative of:
 
  a. pain shock.
  b. dehydration.
  c. internal hemorrhage.
  d. acute infection.

Question 2

The parents of a child with attention deficit hyperactivity disorder (ADHD) ask the nurse about the Ritalin their child is taking. Following a discussion, the nurse recognizes the need for further education when the parents state:
 
  a. This drug will help, but we must set limits.
  b. We expect the symptoms to get worse before they get better.
  c. We will give the medication at bedtime.
  d. He will pay closer attention to schoolwork.

[Beatricemm]

Answer to Question 1

C
If a patient has a rapid pulse, decreased blood pressure, decreased urinary output, and the dressing is dry, then the diagnosis is most likely an internal hemorrhage.

Answer to Question 2

C
A side effect of Ritalin is insomnia, and this medication should not be given before bed.