This topic contains a solution. Click here to go to the answer

Author Question: The postoperative vital signs of an average-sized adult client are BP, 110/68; P, 54; R, 8 . The ... (Read 72 times)

Cooldude101

  • Hero Member
  • *****
  • Posts: 557
The postoperative vital signs of an average-sized adult client are BP, 110/68; P, 54; R, 8 . The client appears pale, disoriented, and has minimal urinary output. Which of the following actions should the nurse take?
 
  a. Retake the vital signs in 30 minutes.
  b. Continue with care as planned.
  c. Administer a stimulant.
  d. Notify the physician.

Question 2

The ambulatory surgical nurse calls to check on the patient at home the morning after surgery. The patient is reporting continued nausea and vomiting. Which of the following discharge education points should be reviewed with the patient?
 
  a. Instruct the patient to take deep breaths.
  b. Instruct the patient to drink ginger ale and eat crackers.
  c. Instruct and attempt to connect the patient with the physician.
  d. Instruct the patient to go to the emergency department.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

polinasid

  • Sr. Member
  • ****
  • Posts: 344
Answer to Question 1

D
The nurse should notify the physician, as these are abnormal findings. The client's respirations are becoming dangerously low at 8 (normal, 12 to 20 breaths per minute). The client's pulse is low at 54 (expected, 60 to 100 beats per minute), and the optimal blood pressure should be less than 120/80, while the client's blood pressure reading is 110/68 . The additional assessment findings also are not normal and should be reported to the physician.
The nurse should not wait another 30 minutes to retake vital signs. The present readings warrant notifying the physician.
These are abnormal findings. The nurse should not continue with care as planned.
The nurse should first notify the physician. Administering a stimulant would require a physician's order and may not be what the client requires. For example, the client may need a narcotic antagonist rather than a stimulant.

Answer to Question 2

C
Postoperative nausea and vomiting sometimes occur once the patient is at home even if symptoms were not present in the surgery center. Options for therapy include medications. Instructing the patient to call the physician and connecting the patient with the physician can help the patient to obtain relief. Taking deep breaths, drinking ginger ale, and eating crackers are interventions that may be helpful, but this patient needs additional help. Instructing the patient to go to the emergency department is an option with continued nausea and vomiting.




Cooldude101

  • Member
  • Posts: 557
Reply 2 on: Jul 22, 2018
YES! Correct, THANKS for helping me on my review


xiaomengxian

  • Member
  • Posts: 311
Reply 3 on: Yesterday
Gracias!

 

Did you know?

Immunoglobulin injections may give short-term protection against, or reduce severity of certain diseases. They help people who have an inherited problem making their own antibodies, or those who are having certain types of cancer treatments.

Did you know?

Every flu season is different, and even healthy people can get extremely sick from the flu, as well as spread it to others. The flu season can begin as early as October and last as late as May. Every person over six months of age should get an annual flu vaccine. The vaccine cannot cause you to get influenza, but in some seasons, may not be completely able to prevent you from acquiring influenza due to changes in causative viruses. The viruses in the flu shot are killed—there is no way they can give you the flu. Minor side effects include soreness, redness, or swelling where the shot was given. It is possible to develop a slight fever, and body aches, but these are simply signs that the body is responding to the vaccine and making itself ready to fight off the influenza virus should you come in contact with it.

Did you know?

Asthma cases in Americans are about 75% higher today than they were in 1980.

Did you know?

Chronic necrotizing aspergillosis has a slowly progressive process that, unlike invasive aspergillosis, does not spread to other organ systems or the blood vessels. It most often affects middle-aged and elderly individuals, spreading to surrounding tissue in the lungs. The disease often does not respond to conventionally successful treatments, and requires individualized therapies in order to keep it from becoming life-threatening.

Did you know?

The modern decimal position system was the invention of the Hindus (around 800 AD), involving the placing of numerals to indicate their value (units, tens, hundreds, and so on).

For a complete list of videos, visit our video library