You are the intraoperative nurse transferring a patient from the OR to the PACU after replacement of the right knee. The patient is a 73-year-old female. You know that special attention must be paid to what?
A) Cardiovascular status
B) Positioning
C) Keeping the patient warm
D) Keeping the patient hydrated
Ans: C
Feedback: Special attention is given to keeping the patient warm because elderly patients are more susceptible to hypothermia. Cardiovascular status, positioning, and hydration are all important for the nurse to pay attention to but are secondary concerns in elderly patients.
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A student nurse is caring for an adolescent with frostbite of the hand in the emergency department. Which action by the student would require the registered nurse to intervene?
A. Applies warm blankets to the child B. Has the teen wear a warmed gown C. Rubs patient's fingers to warm them D. Takes teen's watch off of his wrist
The nurse's assessment of a community-dwelling adult suggests that the client may have drug allergies that have not been previously documented. What statement by the client would confirm this?
A) "I tend to get sick in the stomach when I take antibiotics." B) "I've been told that aspirin might have caused my stomach bleed a few years back." C) "I broke out in hives and got terribly itchy when I started a new prescription last year." D) "When I fell last year, the doctor said that it might have been because of my blood pressure pills."
When auscultating the chest near the collar bone of a 10-year-old child, the nurse would be most likely to hear what benign heart sound?
A) Bruit B) Friction rub C) Venous hum D) Rhonchi
In the PACU, the nurse assesses that a patient is bleeding profusely from an abdominal incision. What is the nurse's best fist action?
a. Notify the surgeon b. Apply pressure to the wound dressing c. Instruct the UAP to get additional dressing supplies d. Request and draw a complete blood count