The nurse is caring for the client after general anesthesia. How often does the nurse perform routine client assessment and documentation in the postanesthesia care unit?
1. Every 5 minutes
2. Every 5 to 15 minutes
3. Every 15 to 30 minutes
4. Every 30 minutes to 1 hour
2
2. The nurse assesses the client every 5 to 15 minutes in the postanesthesia care unit because the client is recovering from general anesthesia and suppression of several vital functions including maintaining an airway, breathing, and the gag reflex.
1. The client potentially needs assessments every 5 minutes, but usually every 5 to 15 minutes is sufficient.
3 and 4. Assessing at intervals of 30 minutes or more is dangerous because the client is recovering from general anesthesia. Complications potentially develop quickly and subtly, leaving the client exposed to risks for extended periods.
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