A nurse caring for a client who has had cardiac or vascular surgery knows to do hourly assessments on which of the following?
A) Blood sugar level
B) Fluid intake and urine output
C) Mentation
D) Blood pressure and pulse rate in both arms
B
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While accessing a client undergoing cardiac or vascular surgery, the nurse assesses the client's fluid intake and urine output on hourly basis. The nurse may assess the blood sugar level during the initial assessment process but not hourly. For a client undergoing a cardiac or vascular surgery, the nurse does not assess for mentation. The nurse assesses the client's blood pressure and pulse rate in both arms after thoracic surgery.
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