The nurse admits the male client for ambulatory surgery. The client tells the nurse he skipped breakfast but drank a cup of coffee and some juice. Which does the nurse implement next?
1. Ask client to estimate the fluid volume.
2. Instruct client to dress and return home.
3. Notify the anesthesiologist and surgeon.
4. Change or delay surgery for several hours.
1
1. The nurse obtains additional information from the client before collaborating with the surgical team so that the nurse can present a comprehensive picture of the client's problem.
2 and 4. It is premature to send the client home or to change the surgical schedule because the nurse needs to collaborate with the surgical team to make the decision.
3. The client drank fluids before surgery, increasing his risk of aspiration of gastric contents. The nurse notifies the surgical team and collaborates with them to decide about rescheduling, delaying, or proceeding with the client's procedure.
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