A nurse is developing a list of home care instructions for the patient being discharged after a laparoscopic cholecystectomy. Which of the following instructions would be most appropriate to include in the postoperative discharge plan for home care?
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A patient has undergone surgery following a motor vehicle ac…
A patient has undergone surgery following a motor vehicle accident to repair multiple orthopedic fractures. Post-operatively the patient develops a fever. The nurse notes the following: blood pressure 90/60, pulse 110, and respiratory rate 38, rapid and deep. The arterial blood gases reveal: pH 7.32, pCO2 28, HCO3 20. The blood gases reveal which of the following?
A patient has had abdominal surgery. In the post anesthesia…
A patient has had abdominal surgery. In the post anesthesia care unit (PACU), the patient’s vital signs are BP: 130/78, P: 68, R: 16. One half hour later, the client’s vital signs are: BP: 85/56, P: 120, R: 20. The client is restless and pale. Which of the following would be the priority intervention?
The nurse is caring for the patient with a central venous ca…
The nurse is caring for the patient with a central venous catheter. The nurse is aware that the most frequent cause of healthcare associated infections of central venous access devices is which of the following?
A patient with a potassium level of 3.2 has a potassium ride…
A patient with a potassium level of 3.2 has a potassium rider ordered to infuse at 10 mEq/hour I.V. The pharmacy supplies potassium 40 mEq in 250 mL D5W. Calculate the infusion rate to be set on the infusion pump. Round to the nearest whole number.
The paitent has been admitted with an opioid sedative overdo…
The paitent has been admitted with an opioid sedative overdose. The patient is at risk for what potential acid-base imbalance?
A nurse has just reassessed the condition of a postoperative…
A nurse has just reassessed the condition of a postoperative patient who was admitted one hour ago to the surgical unit. Which of the following findings should the nurse most carefully monitor?
Using the ISBARR format, in which order should the nurse mak…
Using the ISBARR format, in which order should the nurse make these statements to communicate a change in patient status to a health care provider? These are the statements:A. “Mr. A was admitted 3 days ago after an ORIF of the right hip. He has required furosemide (Lasix) postoperatively for diuresis, but his urine output has been low.”B. “I think that he needs to be evaluated immediately for respiratory distress and possible transfer to ICU.”C. “This is the nurse on the surgical unit at Lewis Hospital.” D. “I am calling about Mr. A in room 3. After assessing him, I am very concerned about his shortness of breath.”E. “Today, he has crackles audible throughout the posterior chest and his O2 saturation is 89% on 2 liters of oxygen. His blood pressure is 160/90 and his heart rate is 100/minute.”F. “You want me to transfer him to the ICU and you will check on him later today.”Which of the following has the statements for the ISBARR in the correct order?
A post-operative patient has not voided for eight hours afte…
A post-operative patient has not voided for eight hours after surgery, then begins urinating 40 mL every 30 minutes. Which of the following is the most appropriate nursing action?
The nurse is caring for the patient with methicillin-resista…
The nurse is caring for the patient with methicillin-resistant staphylococcus aureus (MRSA). In providing appropriate care it is essential that the nurse is aware that MRSA is primarily spread by which of the following?