Which assessment of a patient who is 1 day postsurgery to repair ...

[khang]

Which assessment of a patient who is 1 day postsurgery to repair a hip fracture requires immediate nursing intervention?
 
  a. Patient ate 40 of clear liquid breakfast.
  b. Patient's oral temperature is 98.9 F.
  c. Patient states, I did not realize I would be so tired after this surgery.
  d. Patient reports severe pain 30 minutes after receiving pain medication.

Question 2

Which approach will be most appropriate for a nurse to take when faced with the challenge of performing many tasks in one shift?
 
  a. Do as much as possible by oneself before seeking assistance from others.
  b. Evaluate the effectiveness of all tasks when all tasks are completed.
  c. Complete one task before starting another task.
  d. Delegate tasks the nurse does not like doing.

[joshbk44]

Answer to Question 1

ANS: D
It is important to prioritize in all caregiving situations because it allows you to see relationships among patient problems and avoid delays in taking action that possibly leads to serious complications for a patient. The nurse needs to report severe pain that is unrelieved by pain medication to the health care provider. The nurse needs to recognize and differentiate normal from abnormal findings and set priorities. Eating 40 of breakfast, having a slightly elevated temperature, and being tired the day after surgery are expected findings following surgery and do not require immediate intervention.

Answer to Question 2

ANS: C
The appropriate clinical care coordination skill in these options is to complete one task before starting another task. Good time management involves setting goals to help the nurse complete one task before starting another task. Evaluation is ongoing and should not be completed just at the end of task completion. The nurse should not delegate tasks simply because the nurse does not like doing them. The nurse should use delegation skills and time-management skills instead of trying to do as much as possible with no help.

[khang]

Thanks

[joshbk44]

Welcome