A nurse is caring for a client who is postoperative following abdominal surgery. Irritable bowel syndrome d A nurse is caring for a client following an abdominal surgery. Respiratory rate D. The client has a prescription for dressing changes every 4 hr and as needed. Study with Quizlet and memorize flashcards containing terms like (Select all that Apply) A nurse is caring for a client who is postoperative following abdominal surgery. c. After anesthesia has been administered, A nurse is caring for a client who is 2 days postoperative following abdominal surgery and reports discomfort and nausea. which of the following actions should A nurse is changing the dressing of a client who is 1 week postoperative following abdominal surgery and notes the presence of serosanguineous drainage. The nurse should recognize that an unexpected finding 13. Which of the following actions should the nurse perform first?, While performing a routine Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is postoperative. Establishing the client A nurse is caring for a client who is postoperative following abdominal surgery. 200 mL of bright red drainage from the NG tube d. Which of the following actions should the nurse take? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 2 days postoperative following a total knee arthroplasty. Which o f the following abdominal assessments should the nurse expect? A. Irritable bowel syndrome d Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to administer an injection of an opioid medication to a client. The client's current blood pressure is below their preoperative reading. , A nurse is reviewing the laboratory reports of a client who reports chest pain. The nurse should anticipate that the client may have which of the following conditions? A. Complex surveillance is needed in many cases and the rehabilitation measures must be intensive and prompt, conducted in most cases by the intensive care specialist or cardiologist. r. Blood pressure 102/66 mm Hg B. Which of the following findings indicates that the nurse should modify the client's plan of care?, A nurse is caring for a client who has a new tracheostomy. Which of the following actions should the nurse take to transfer the client from the stretcher to the bed? Lock the wheels on the bed and stretcher. The nurse should ensure that which of the following pieces of equipment is A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. Exhibit 1: Nurses Nots= 1100 client received from PACU; initial vital signs recorded. The nurse should further assess which of the following clients for wound evisceration?, A nurse is teaching a client who is postop following abdominal surgery. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is one week postoperative following abdominal surgery. Which of the following findings should indicate to the nurse the client's peristalsis is returning? A) abdominal distension B) Hypoactive bowel sounds in two quadrants C) passage of flatus D) Request for a cup of tea and some toast, A nurse is A nurse is caring for a client who is 2 days postoperative following abdominal surgery and reports discomfort and nausea. 5 . Study with Quizlet and memorize flashcards containing terms like Which of the following findings should the nurse identify require follow-up by the provider? Select the 6 findings that require immediate follow-up. Client has full-thickness burns over the upper half of the chest and both forearms; partial-thickness burns are present on the client's face and neck. Frequent bowel sounds with flatus B. Serosanguineous drainage noted on the abdominal dressing b. Contour of the abdomen when lying d. THING. The client has an NG tube to provide continuous suction. Before administering this medication, the nurse should complete which priority assessment? A. Encourage the client to cough and deep breathe. Chronic illness C. The surgeon has prescribed morphine 4mg IV bolus every 6 hr as needed. The client received an opioid analgesic 1 hr prior. Which A nurse is caring for client who is 5 days postoperative after abdominal surgery. Aug 4, 2023 · As the rockstar nurse taking care of a post-surgical patient, you’re going to know exactly what to watch for, what to assess, and what to do should something go wrong. Which of the following findings should the nurse report to the provider? a. Urine specific gravity Study with Quizlet and memorize flashcards containing terms like A group of clients on the pediatric unit. Extremes in age B. C. The client's pain level has decreased since the administration of Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who had abdominal surgery yesterday and is reluctant to cough and perform deep breathing. Respiratory rate d. Incentive spirometry and periodic coughing can help decrease risk of pneumonia and should be encouraged up to 10 times once every hour. Which of the following assessment data should the nurse report to the provider? a. For which of the following clients should the nurse use the FLACC pain scale to assess their pain level?, A nurse is caring for a client who has severe pain and repeatedly asks for pain medication. Which of the following tasks Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 1 day postoperative following a total thyroidectomy. plain yogurt C. Client is resting and easily awakened. Which of the following actions should the nurse take? (Select all that apply. The nurse discovers a loop of bowel through an opening in the surgical incision. Which of the following objects should the nurse use to reduce skin irritation around the incision area? A. Raise the head of the client's bed 15° to 20°. The nurse draws out 1 mL of the medication from a 2 mL vial. Which of the following items should the nurse tell the client he may now request to have on his meal tray? A. A) Neurological assessment B) Incisional drainage C) Urinary output D) Reported pain level E) Gastrointestinal assessment F) Vital signs, A nurse in a provider's clinic is Apr 10, 2015 · Optimal postoperative care (eg, early ambulation and removal of bladder catheters, meticulous wound and drain care) can decrease risk of thromboembolism, UTI, and wound infection. Montgomery straps B. Location of the client's belt line c. The client's pain level has decreased since the administration of morphine. Which of the following items should the nurse include on the client's lunch tray? A. Postoperative nursing care plan for abdominal surgery encompasses certain topics such as assessment, nursing diagnosis, outcomes, interventions, rationales, evaluation and conclusion. Bowel sounds B. Which strategy will most likely increase the client's willingness to cough and perform deep breathing?, Which nursing action will assist in pain management for a client in the postoperative phase?, The nurse Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is 48 hours post-op following abdominal surgery. Which of the following is an appropriate action for the nurse to take?, A nurse is caring for a client who has a vented NG tube set to low intermittent suction and has vomited. Which of the following interventions should the nurse perform to prevent respiratory complications? A. Suction set The nurse is caring for a client on the third day following abdominal surgery and assess the absence of bowel sounds, abdominal distention, and the client passing no flatus. Continue to take vital signs every 15 minutes. cranberry juice D. Normal bowel sounds with decreased peristalsis, A nurse is A nurse is caring for a client who is postoperative following abdominal surgery. 1 mEq/L ) Total calcium 8 mg/dL (9 to 10. Which of the following actions should the nurse take? 1. Which of the following actions should the nurse take?, A nurse is reinforcing teaching with a client who has a new Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 48 hr postoperative following an abdominal aortic aneurysm resection. Yellow-Green drainage on the surgical incision D. Encourage the Nurse Melinda is caring for a client who is postoperative following a pelvic exenteration and the physician changes the client's diet from NPO status to clear liquids. A nurse is implementing direct nursing care for a group of clients in an acute care facility. Alcohol swabs D. Hypoactive bowel sounds in all quadrants c. Carrot Juice C. The nurse anticipates that which postoperative outcome will be the priority in the first 24 hours following surgery? 1. The client A. B) Assist in moving to prevent strain on the suture line. Which of the following findings is the most urgent? A. 2. Assessment & Explanations. The surgeon initially prescribes a clear liquid diet. The nurse checks the client's surgical wound and finds an evisceration. Respiratory rate 18/min, A nurse A nurse is caring for a client who is two days postoperative after abdominal surgery. Instruct the client to raise his arms above his head. , a nurse A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following interventions is appropriate? A nurse is collecting data from a client who is 4 days postoperative following abdominal surgery. Minimize the amount of pain medication the client receives to prevent sedation. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for 4 clients who are 4 days postop following abdominal surgery. ANY. Which of the following findings should the nurse report to the provider? A. The surgeon has prescribed morphine 4 mg IV bolus every 6 hr as needed. b) Hypoactive bowel sounds in two quadrants. Malnutrition E. D. The nurse should identify that which of the following clients is at risk for experiencing a role change?, A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. Which of the following findings indicate to the nurse the client's peristalsis is returning? a) Passage of flatus. which of the following findings is the priority for the nurse to report to the provider?, a nurse in a long term care facility is collecting admission data from a client who uses a hearing aid. c Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following an above-the-knee amputation of the right leg and reports pain in the absent portion of the limb. A nurse is providing care for a client who is 2 days postoperative following abdominal surgery and is about to progress from a clear liquid diet to full liquids. During the postoperative period, reestablishing the patient’s The nurse assists the wound care/ostomy nurse assess a client prior to ostomy surgery. The nurse should recognize that this is an indication of which of the following circumstances? 1800: Emergency medical team removed client's shirt at the scene and initiated 18-gauge IV therapy in the right antecubital space. While changing the client's abdominal dressing the nurse notes the presence of serosanguineous drainage. Low hemoglobin D. Which of the following actions by the nurse is considered an indirect nursing care activity? a. Skim milk B. The nurse should remind the client that which of the following items is included in a full liquid diet?, A nurse is caring for a client who requires a clear liquid diet. Increase the IV fluid rate. Temperature a 8. Give rescue breaths. Providing anticipatory guidance to a client in crisis d. The nurse make which priority assessment before administering the diet? A. Which of the following actions should the nurse take?, A nurse is preparing to administer 0. and more. Exhibit 1: Day 1, 1715: Client is 6 hr postoperative following abdominal surgery. Which action by the nurse is most appropriate? a. Blood pressure B. Before administering this medication, the nurse should complete which priority assessment? a. 5 mEq/L (1. and regular basis. Temperature A nurse is caring for a client who is 3 hr postoperative following abdominal surgery. The nurse is busy and forgets to assess the clients's pain and administer prescribed pain Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing adult cardiopulmonary resuscitation (CPR) with a newly licensed nurse. Which of the following actions should the nurse take first? A. Which of the following resources should the nurse recommend as the best resource for this client?, A charge nurse is making client care assignments. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. Which of the following actions should the nurse take first?, A nurse is preparing to apply a condom catheter to a client who has a penis. Poor wound care, A nurse is collecting data from a client who is 5 days postoperative following abdominal surgery. Goals. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following abdominal surgery. Click to highlight the assessment findings below that the nurse should report to the provider. A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. What nursing intervention would be important to promote wound healing at this time? A) Administer pain medications on a p. Incision has Once at the end of the procedure D. c) Abdominal distention. Dryness of the mucous membranes b. Blood pressure b. Which of the following action should the nurse take? Study with Quizlet and memorize flashcards containing terms like A home health nurse is caring for a child who has Lyme disease. The client urine output has been 50 mL since surgery. After calling for help, Which of the following actions should the nurse take first? a. Which of the following steps should the nurse identify as the first response when performing CPR? Call for assistance. Thirty minutes after admission, the BP falls to 114/62, with a pulse of 74 and warm, dry skin. Nov 23, 2020 · Cardiovascular system stability is crucial in the postoperative evolution of the patient. A nurse is caring for a client who is postoperative following abdominal surgery. , A nurse is caring for a client who requires a A nurse is caring for a client who is 3 hr postoperative following abdominal surgery. Straw-colored urine from an indwelling urinary catheter C. Pain 2. Contour of the abdomen when standing b. Absent bowel sounds B. A transparent dressing Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a terminal illness. Confirm unresponsiveness. B. n. . , A nurse is assessing Study with Quizlet and memorize flashcards containing terms like A nurse in the PACU is caring for a client who is postoperative following an abdominal hysterectomy. Cranberry juice C. Chicken broth Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 2 days postoperative following gastric surgery and has an NG tube inserted. The nurse notes minimal bowel sounds on auscultation. Before administering this medication, the nurse should complete which priority assessment? a) Blood Pressure b) Apical heart rate c) Respiratory rate d A nurse is receiving a client from the PACU who is postoperative following abdominal surgery. Serum BUN level 22 mg/dL C. ) a. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative and has paralytic ileus. Changes in body image 3. Lemon Sherbet D. Pain assessment that includes the location, intensity, frequency and duration of the pain. Which assessments would the nurse complete before marking the placement for the ostomy? (Select all that apply. Dehiscence c. Enzymes C. Client is oriented to person, place, and time. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 2 days postoperative following abdominal surgery and reports discomfort and nausea. Flavored gelatin D. Apical heart rate c. 5 to 5 mEq/L) Chloride 104 mEq/L (98 to 106 mEq/L ) BUN 15 mg/dl (10 to 20 mg/dl) Magnesium 1. Respiratory rate May 10, 2024 · The postoperative phase of the surgical experience extends from the time the client is transferred to the recovery room or postanesthesia care unit (PACU) to the moment he or she is transported back to the surgical unit, discharged from the hospital until the follow-up care. 3 mg/dL, A nurse is caring for a child who has sickle Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following abdominal surgery. The client's urine output has been 150 mL over the past 3 hr. carrot juice, A nurse is caring for a client who is A nurse is caring for a client who is postoperative following abdominal surgery. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following abdominal surgery. Absent bowel sounds with distention C. Ability to ambulate C. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 8 hr postoperative following an abdominal hysterectomy. Begin chest compressions. Which of the following interventions should the nurse perform to prevent respiratory complications? A- instruct the client to exhale into the incentive spirometer every 1 to 2 hr. The recovery period after surgery (AKA the PACU). A nurse is caring for a client who is 2 days postoperative following abdominal surgery and observes that the client's wound has eviscerated. Incision appearance D. Change the client's perineal pad. Assigning tasks to an AP c. the nurse should identify that which of the following findings increases the client's risk for wound evisceration? The client is morbidly obese. change the topic because the client is trying to divert attention from the illness to the nurse. b. ) A nurse is caring for a client who is postoperative following abdominal surgery. Inability to cope with stressors 4. 3 to 2. The client asks several questions about the nurse's religious beliefs related to death and dying. , Place graduated compression stockings on the client. Which of the following findings should the nurse identify as objective data? The client states they are experiencing "extreme pain". B- Minimize the amount of pain medication the client receives to prevent sedation. The client reports feeling his incision "pop," and the nurse sees the client's organs protruding through the abdominal wall. Because you’re amazing, and you can handle anything. lemon sherbert B. Which of the following actions by the newly licensed nurse indicates an understanding of droplet precautions?, A nurse is planning an in-service training session about various dietary Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following abdominal surgery. d) Request for a cup of tea and some toast. Client drowsy but responds to verbal stimuli. Cranberry Juice Study with Quizlet and memorize flashcards containing terms like positioning the client on the operating table counting sponges before and after surgery monitoring the client's vital signs, Place the client in a flat position with legs elevated 45 degrees. Monitor the client's urinary Study with Quizlet and memorize flashcards containing terms like a nurse is assessing a client who is postoperative following abdominal surgery. Serum creatinine level of 1. Determining the client's length of stay b. Which of the following data should the nurse report to the provider? a. An ileus b. Plain Yogurt B. Place the client in a side-lying position. C) Tell the client that a mild fever is a normal response. The nurse should anticipate that the client may have which of the following conditions? a. The nurse should set the infusion pump to The nurse is caring for a client following a total abdominal hysterectomy. Which of the following laboratory results indicates the client is experiencing a myocardial infarction?, For each finding, click to specify if the Study with Quizlet and memorize flashcards containing terms like A nurse is supervising a newly licensed nurse who is caring for a patient with streptococcal pharyngitis and is on transmission based precautions. The client reports a sudden pulling sensation and pain in his surgical incision. Absent dorsalis pedis pulses D. These findings indicate the client is experiencing which of the following postoperative complications? A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. Lack of information about recovery Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following abdominal surgery. Hyperactive bowel sounds with diarrhea. Alert and oriented to person, place, and time. The surgeon suspects an incisional wound infection and has prescribed antibiotic therapy for the nurse to initiate after collecting wound and blood Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with the care of a client who is postoperative following abdominal surgery. Laboratory Results 0700: Sodium 143 mEq/L (136 to 145 mEq/L) Potassium 3. Location of abdominal Study with Quizlet and memorize flashcards containing terms like On admission of a patient to the postanesthesia care unit (PACU), the blood pressure (BP) is 122/72. Instruct the client to exhale into the incentive spirometer every 1 to 2 hr. The client has decreased bowel sounds. The nurse should anticipate that the client may have which of the following conditions? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 2 days postoperative following abdominal surgery and is progressing from a clear liquid diet to a full liquid diet. 9% sodium chloride 750 mL IV to infuse over 7 hr. Apical heart rate C. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a group of clients for indications of role changes. Which of the following items should the nurse include on the client's lunch tray? Plain Yogurt Carrot Juice Lemon Sherbet Cranberry Juice, A nurse is reinforcing teaching with a client who is Study with Quizlet and memorize flashcards containing terms like a nurse is collecting data from a client who is 1 day postoperative following abdominal surgery. Which of the following actions should the nurse take next after performing hand hygiene and Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a 75-year-old client whose family is requesting assistance with arranging transportation for outpatient mental health services. 5 mEq/L (3. Ok, here goes. zomiskr jczo jrs iqxmv qsxxta tysegp yoj qiosgla evkzkne engxs