The nurse is caring for a patient who is headed to the operating room for abdominal surgery. Which goal is appropriate for the nursing diagnosis risk for Perioperative positioning injury?

a. Patient will deny numbness or tingling in extremities after surgical procedure.
b. Patient will maintain urine output of at least 30 mL/hour during and after surgery.
c. Patient will maintain elastic skin turgor as well as moist tongue and mucus membranes.
d. Patient will have no emesis and deny nausea following arousal from general anesthesia.


ANS: A
Numbness and tingling of extremities may be indicative of injury following improper positioning for surgery. The other goals do not relate to positioning injury but relate to nursing diagnoses of Fluid balance and Nausea.

Nursing

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