14 hours ago The nurse performing an initial assessment of a postoperative patient notes the following: temperature 104.9° F (40.5° C), blood pressure 90/60, pulse 58, respirations 30, rigidity of the jaw muscles, and dark urine. The priority nursing action would be to: 1.instruct the patient to relax and take deep breaths. >> Go To The Portal
A nurse is providing preoperative for a client who is about to have a below-the-knee amputation. Which of the following instructions should the nurse include? A nurse is planning care for a client who is postoperative and has a closed-wound drainage system in place. Which of the following interventions should the nurse plan to include?
A nurse is monitoring a client who received succinylcholine during a surgical procedure. Which of the following actions should the nurse take if the client develops manifestations of malignant hyperthemia? A nurse is caring for a client who has a surgical wound with a Penrose drain in place.
While monitoring the client's vital signs, the nurse finds that the client's tongue has become swollen and is obstructing the airway. Which of the following actions should the nurse take first?
- the nurse should inform the client that a panhysterectomy includes the removal of the uterus and ovaries, which might cause manifestations of menopause to occur. Manifestations of menopause include hot flashes, night sweats, and vaginal dryness
What should the nurse do? 1- Monitor laboratory values daily for elevated thyroid-stimulating hormone. 2- Observe for swelling of the neck, tracheal deviation, and severe pain.
The nurse should state that the physician probably will order daily supplements of calcium and: 1- folic acid. 2- vitamin D. 3- potassium.
A nurse is assessing a client who is preoperative. The nurse should identify that which of the following factors reported by the client increases the risk for a postoperative wound infection?
the use of steroids inhibit leukocyte response, which increases the clients risk for infection. A nurse is providing preoperative teaching to a client who is schedule for a gastrectomy in 1 week. The client is anxious about the upcoming surgery.