A patient is being evaluated for discharge from the postanesthesia care unit. The patient had a preoperative baseline blood pressure of 124/80
Currently, the patient is moving all four extremities voluntarily, has a respiratory rate of 11, and rouses when her name is called. Which other assessment would mandate that the patient stay in postanesthesia care until more stable? 1. The patient has vomited once since admission.
2. The patient's blood pressure is 120/76.
3. The patient has had no pain since admission to the unit.
4. The patient's pulse oximeter measures 92% on oxygen.
4
Rationale 1: The current incomplete PADS score is 6. A single episode of vomiting is not significant.
Rationale 2: A blood pressure of 120/76 is within 20% of baseline, scoring a 2. Added to the current incomplete PADS score of 6, the patient's score is 8, which is sufficient for discharge to a hospital unit.
Rationale 3: The patient currently has an incomplete PADS score of 6. Having no pain is not a reason to keep the patient in the PACU.
Rationale 4: The patient's current incomplete PADS score is 6. The missing component is O2 saturation. The reading of 92% on oxygen earns a score of 1, bringing the total PADS score to 7. A PADS score of 7 requires that the patient stay in the PACU.
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In a literature review, the author identifies themes present in articles under review and describes connections among these themes. This is an example of:
a. analysis. b. appraisal. c. synthesis. d. theorizing.
For what reason might a newborn infant with a cardiac defect, such as coarctation of the aorta, that results in a right-to-left shunt receive prostaglandin E1?
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