Author Question: When providing care for an ambulatory surgical patient, the nurse recognizes that which assessment ... (Read 54 times)

vHAUNG6011 · **on:** Jul 24, 2018

When providing care for an ambulatory surgical patient, the nurse recognizes that which assessment indicates that the patient meets discharge criteria?

a. The patient is able to drive home alone.
b. Some respiratory depression is evident.
c. The oxygen saturation level is at 85.
d. No intravenous (IV) narcotics have been given in the past 30 minutes.

Question 2

The patient has undergone a cardiac catheterization. It has been 2 hours since the catheter and sheath have been removed. Which of the following would be a concern for the nurse recovering the patient after the procedure? (Select all that apply.)

a. Swelling and hardness at the catheter insertion site
b. Complaints of itching and urticaria
c. Urine output less than 30 mL/hour
d. Low back pain radiating to both sides of the body

joewallace · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

D
An ambulatory surgical patient meets discharge criteria when no IV narcotics have been administered for the past 30 minutes, a responsible adult is present to accompany the patient home, respiratory depression is not present, and oxygen saturation is greater than 90.

Answer to Question 2

A, B, C, D
If hematoma or hemorrhage is present at the catheter insertion site, apply pressure over the insertion site, and notify the health care provider or physician if interventions do not stop the bleeding, or if the patient demonstrates symptoms of acute blood loss (hypotension, tachycardia). If the patient has an allergic reaction to contrast medium manifested by symptoms of flushing, itching, and urticaria, continue monitoring the patient and assess for anaphylaxis. Notify the health care provider. Renal toxicity from contrast can be detected by monitoring intake and output. Urine output of less than 30 mL/hour is a sign of renal toxicity. Low back pain radiating to both sides of the body is a hallmark sign of retroperitoneal bleeding.