The nurse is caring for a patient who had spinal anesthesia. Which drink is the best choice for the nurse to offer the patient?
a. Tea
b. Orange juice
c. Milk
d. Water
A
Caffeinated beverages like tea or coffee increase the vascular pressure and help seal the punc-tured area. Orange juice, milk, or water would not achieve the same goal.
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The nurse is assessing a patient recovering from surgery for abdominal compartment syndrome. Which findings could indicate a life-threatening condition may be developing in this patient?
1. Temperature 100.7°F 2. Complaint of dyspnea 3. Poor skin turgor 4. Blood pressure 146/88 mm Hg 5. Complaint of chest pain
A nurse caring for a complex medical client has been categorizing data as important or not important in an attempt to promote an optimal outcome for the client. The nurse is using:
a. breadth c. clarity b. logic d. depth
Plans of care give specific information that provide for quality patient care
True False
A client receives hydromorphone 2 mg intravenously for report of postoperative pain. Fifteen minutes later, the nurse notes respirations are 6 breaths/minute and the client is nonresponsive. The nurse administers prescribed naloxone (Narcan). The next time the client reports pain, the best nursing action is:
a) Consult with the healthcare provider to reduce the dose. b) Ensure naloxone is available. c) Withhold the hydromorphone. d) Administer one-half of the prescribed opioid dose.