A nurse is caring for a client who is postoperative following abdominal surgery
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. The nurse should recognize that an unexpected finding 13. , 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. 3 to 2. Absent dorsalis pedis pulses D. Client is oriented to person, place, and time. 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. Hypoactive bowel sounds in all quadrants 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. 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. Exhibit 1: Day 1, 1715: Client is 6 hr postoperative following abdominal surgery. 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. Apical heart rate C. The nurse make which priority assessment before administering the diet? A. Which of the following actions should the nurse take? 1. 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. Instruct the client to exhale into the incentive spirometer every 1 to 2 hr. The nurse checks the client's surgical wound and finds an evisceration. Before administering this medication, the nurse should complete which priority assessment? A. 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. Which of the following items should the nurse include on the client's lunch tray? A. Flavored gelatin D. The client received an opioid analgesic 1 hr prior. Increase the IV fluid rate. 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 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. 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. 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. Which of the following resources should the nurse recommend as the best resource for this client?, A charge nurse is making client care assignments. C) Tell the client that a mild fever is a normal response. Respiratory rate d. 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. Respiratory rate 18/min, A nurse A nurse is caring for a client who is two days postoperative after abdominal surgery. Providing anticipatory guidance to a client in crisis d. Begin chest compressions. Goals. 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. Assigning tasks to an AP c. 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. Respiratory rate D. 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. 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. 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. Contour of the abdomen when lying d. Lemon Sherbet D. After calling for help, Which of the following actions should the nurse take first? a. 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. Which action by the nurse is most appropriate? a. Absent bowel sounds with distention C. The client urine output has been 50 mL since surgery. Contour of the abdomen when standing b. Change the client's perineal pad. 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. The client reports feeling his incision "pop," and the nurse sees the client's organs protruding through the abdominal wall. Which assessments would the nurse complete before marking the placement for the ostomy? (Select all that apply. Alcohol swabs D. Chronic illness C. 5 mEq/L (1. Which of the following findings should the nurse identify as objective data? The client states they are experiencing "extreme pain". 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. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following abdominal surgery. The surgeon has prescribed morphine 4 mg IV bolus every 6 hr as needed. Serosanguineous drainage noted on the abdominal dressing b. Normal bowel sounds with decreased peristalsis, A nurse is A nurse is caring for a client who is postoperative following abdominal surgery. A nurse is implementing direct nursing care for a group of clients in an acute care facility. The nurse draws out 1 mL of the medication from a 2 mL vial. 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. The client's current blood pressure is below their preoperative reading. and more. ) a. Which of the following findings should the nurse report to the provider? a. Skim milk B. ANY. Dehiscence c. , A nurse is reviewing the laboratory reports of a client who reports chest pain. Ok, here goes. The nurse anticipates that which postoperative outcome will be the priority in the first 24 hours following surgery? 1. b) Hypoactive bowel sounds in two quadrants. Montgomery straps B. The nurse should anticipate that the client may have which of the following conditions? a. During the postoperative period, reestablishing the patient’s The nurse assists the wound care/ostomy nurse assess a client prior to ostomy surgery. Which of the following steps should the nurse identify as the first response when performing CPR? Call for assistance. 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. 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 A nurse is changing the dressing of a client who is 1 week postoperative following abdominal surgery and notes the presence of serosanguineous drainage. A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. Which of the following data should the nurse report to the provider? a. Pain 2. 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. 5 . Incision appearance D. 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. plain yogurt C. Encourage the client to cough and deep breathe. Dryness of the mucous membranes b. 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. Blood pressure b. Poor wound care, A nurse is collecting data from a client who is 5 days 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. 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. 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. Changes in body image 3. c) Abdominal distention. The nurse notes minimal bowel sounds on auscultation. The nurse should set the infusion pump to The nurse is caring for a client following a total abdominal hysterectomy. r. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative and has paralytic ileus. 9% sodium chloride 750 mL IV to infuse over 7 hr. 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. Assessment & Explanations. Apical heart rate c. Straw-colored urine from an indwelling urinary catheter C. Blood pressure B. The client's pain level has decreased since the administration of morphine. D. While changing the client's abdominal dressing the nurse notes the presence of serosanguineous drainage. Postoperative nursing care plan for abdominal surgery encompasses certain topics such as assessment, nursing diagnosis, outcomes, interventions, rationales, evaluation and conclusion. 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. Absent bowel sounds B. Blood pressure 102/66 mm Hg B. Which of the following actions should the nurse take?, A nurse is preparing to administer 0. change the topic because the client is trying to divert attention from the illness to the nurse. Urine specific gravity Study with Quizlet and memorize flashcards containing terms like A group of clients on the pediatric unit. Ability to ambulate C. Give rescue breaths. Client drowsy but responds to verbal stimuli. THING. ) A nurse is caring for a client who is postoperative following abdominal surgery. 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. 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. The recovery period after surgery (AKA the PACU). 200 mL of bright red drainage from the NG tube d. Establishing the client A nurse is caring for a client who is postoperative following abdominal surgery. Incentive spirometry and periodic coughing can help decrease risk of pneumonia and should be encouraged up to 10 times once every hour. Determining the client's length of stay b. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for 4 clients who are 4 days postop following abdominal surgery. Continue to take vital signs every 15 minutes. The client's urine output has been 150 mL over the past 3 hr. The client asks several questions about the nurse's religious beliefs related to death and dying. Bowel sounds B. Because you’re amazing, and you can handle anything. The nurse discovers a loop of bowel through an opening in the surgical incision. 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. Which of the following interventions should the nurse perform to prevent respiratory complications? A. 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. 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. Click to highlight the assessment findings below that the nurse should report to the provider. Which of the following actions by the nurse is considered an indirect nursing care activity? a. The surgeon has prescribed morphine 4mg IV bolus every 6 hr as needed. The surgeon initially prescribes a clear liquid diet. d) Request for a cup of tea and some toast. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a group of clients for indications of role changes. The client has an NG tube to provide continuous suction. What nursing intervention would be important to promote wound healing at this time? A) Administer pain medications on a p. Serum BUN level 22 mg/dL C. Which of the following findings indicate to the nurse the client's peristalsis is returning? a) Passage of flatus. 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. 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. , 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. The client has a prescription for dressing changes every 4 hr and as needed. The client reports a sudden pulling sensation and pain in his surgical incision. 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. , a nurse A nurse is caring for a client who is postoperative following abdominal surgery. 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. c. A nurse is caring for a client who is postoperative following abdominal surgery. 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. Minimize the amount of pain medication the client receives to prevent sedation. B) Assist in moving to prevent strain on the suture line. , Place graduated compression stockings on the client. Which o f the following abdominal assessments should the nurse expect? A. cranberry juice D. B. Frequent bowel sounds with flatus B. Which of the following actions should the nurse take? (Select all that apply. Serum creatinine level of 1. 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. Extremes in age B. Yellow-Green drainage on the surgical incision D. carrot juice, A nurse is caring for a client who is A nurse is caring for a client who is postoperative following abdominal surgery. Cranberry juice C. 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. Raise the head of the client's bed 15° to 20°. Which of the following items should the nurse tell the client he may now request to have on his meal tray? A. 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. Nov 23, 2020 · Cardiovascular system stability is crucial in the postoperative evolution of the patient. Place the client in a side-lying position. Pain assessment that includes the location, intensity, frequency and duration of the pain. An ileus b. 5 mEq/L (3. Temperature a 8. n. 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. Malnutrition E. A nurse is caring for a client who is 2 days postoperative following abdominal surgery and observes that the client's wound has eviscerated. The client has decreased bowel sounds. Carrot Juice C. 1 mEq/L ) Total calcium 8 mg/dL (9 to 10. Hyperactive bowel sounds with diarrhea. Temperature A nurse is caring for a client who is 3 hr postoperative following abdominal surgery. Thirty minutes after admission, the BP falls to 114/62, with a pulse of 74 and warm, dry skin. 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 actions should the nurse take first? A. 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. C. lemon sherbert B. Client is resting and easily awakened. 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. Which of the following assessment data should the nurse report to the provider? a. The client A. 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. 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. 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. and regular basis. The nurse should anticipate that the client may have which of the following conditions? A. Confirm unresponsiveness. Which of the following interventions is appropriate? A nurse is collecting data from a client who is 4 days postoperative following abdominal surgery. Which of the following objects should the nurse use to reduce skin irritation around the incision area? A. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following abdominal surgery. Plain Yogurt B. Enzymes C. 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. Instruct the client to raise his arms above his head. Exhibit 1: Nurses Nots= 1100 client received from PACU; initial vital signs recorded. Low hemoglobin D. Before administering this medication, the nurse should complete which priority assessment? a. the nurse should identify that which of the following findings increases the client's risk for wound evisceration? The client is morbidly obese. Location of the client's belt line c. 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. Which A nurse is caring for client who is 5 days postoperative after abdominal surgery. 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. Which of the following findings is the most urgent? A. Which of the following findings should the nurse report to the provider? A. 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. Inability to cope with stressors 4. . Alert and oriented to person, place, and time. Incision has Once at the end of the procedure D. Laboratory Results 0700: Sodium 143 mEq/L (136 to 145 mEq/L) Potassium 3. B- Minimize the amount of pain medication the client receives to prevent sedation. 2. nfdwheqllxhnxichoyxiyrnsdpoiauyagwaicwtfzrhxzvnz
