Answer to Question 1
ANS: 1
Ambulatory surgical clients are discharged to home when they meet certain criteria. With new anesthetic agents and techniques, many ambulatory surgery clients are able to bypass phase I. However, if the client is in need of close monitoring, the client is assessed and cared for in the same fashion as inpatient clients in phase I. Whether the client will be able to ambulate as soon as being admitted to the recovery area depends upon the ambulatory client's condition, type of sur-gery, and anesthesia. This is not a true statement for all ambulatory surgery clients. The admin-istration of fluids is dependent upon the client's condition and type of surgery. The excretion of anesthetic depends on many factors, including the route of administration (e.g., fluids will not promote the excretion of anesthetic gases). Oral fluids cannot be given until it is determined the client has a gag reflex and bowel sounds. Fluids are often given to prevent circulatory complica-tions.
Answer to Question 2
ANS: 3
Signs of internal bleeding following abdominal surgery may include abdominal distention; swell-ing or bruising around the incision; increased pain; a drop in blood pressure; elevated heart and respiratory rates; thready pulse; cool, clammy, pale skin; and restlessness. The client who is hem-orrhaging will have a decreased blood pressure. Incisional pain may occur as a result of surgery. A continuous increase in pain in conjunction with other symptoms of bleeding may indicate in-ternal hemorrhaging. A client who is bleeding will have a decreased urinary output.
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