An adult patient is in the recovery room following a nephrectomy performed for the treatment of renal cell carcinoma
The patient's vital signs and level of consciousness stabilized, but the patient then complains of severe nausea and begins to retch. What should the nurse do next?
A) Administer a dose of IV analgesic.
B) Apply a cool cloth to the patient's forehead.
C) Offer the patient a small amount of ice chips.
D) Turn the patient completely to one side.
Ans: D
Feedback:
Turning the patient completely to one side allows collected fluid to escape from the side of the mouth if the patient vomits. After turning the patient to the side, the nurse can offer a cool cloth to the patient's forehead. Ice chips can increase feelings of nausea. An analgesic is not administered for nausea and vomiting.
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