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

Author Question: A client who receives general or regional anesthesia in an ambulatory surgery center: 1. Has to ... (Read 98 times)

Mr. Wonderful

  • Hero Member
  • *****
  • Posts: 866
A client who receives general or regional anesthesia in an ambulatory surgery center:
 
  1. Has to meet identified criteria in order to be discharged home
  2. Will remain in the phase I recovery area longer than a hospitalized client
  3. Is allowed to ambulate as soon as being admitted to the recovery area
  4. Is immediately given liberal amounts of fluid to promote the excretion of the an-esthesia

Question 2

Following abdominal surgery, the nurse suspects that the client may be having internal bleeding. Which of the following findings is indicative of this complication?
 
  1. Increased blood pressure
  2. Incisional pain
  3. Abdominal distention
  4. Increased urinary output



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

SamMuagrove

  • Sr. Member
  • ****
  • Posts: 312
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.





 

Did you know?

Many people have small pouches in their colons that bulge outward through weak spots. Each pouch is called a diverticulum. About 10% of Americans older than age 40 years have diverticulosis, which, when the pouches become infected or inflamed, is called diverticulitis. The main cause of diverticular disease is a low-fiber diet.

Did you know?

Hypertension is a silent killer because it is deadly and has no significant early symptoms. The danger from hypertension is the extra load on the heart, which can lead to hypertensive heart disease and kidney damage. This occurs without any major symptoms until the high blood pressure becomes extreme. Regular blood pressure checks are an important method of catching hypertension before it can kill you.

Did you know?

About 80% of major fungal systemic infections are due to Candida albicans. Another form, Candida peritonitis, occurs most often in postoperative patients. A rare disease, Candida meningitis, may follow leukemia, kidney transplant, other immunosuppressed factors, or when suffering from Candida septicemia.

Did you know?

Elderly adults are living longer, and causes of death are shifting. At the same time, autopsy rates are at or near their lowest in history.

Did you know?

People with high total cholesterol have about two times the risk for heart disease as people with ideal levels.

For a complete list of videos, visit our video library