A patient in the PACU is nauseated and has vomited. Which nursing actions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Administer an antiemetic per protocol or order.
2. Raise the head of the patient's bed.
3. Place a cool washcloth on the patient's forehead or neck.
4. Offer the patient a small amount of ice chips.
5. Offer the patient sips of tea or coffee.
1,3,4
Rationale 1: Antiemetic medications are often required to treat postoperative nausea and vomiting.
Rationale 2: Elevation of the head often triggers nausea.
Rationale 3: Application of a cool washcloth may help avert nausea.
Rationale 4: Ice chips may help to moisten the mouth and throat and avert nausea.
Rationale 5: The patient should not be given liquids that could be aspirated.
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