The nurse is evaluating the patient in the hospital's postanaesthesia care unit (PACU) and determines that the Aldrete score is 8 . Based on this assessment, which of the following does the nurse anticipate will happen?
a. The patient will be sent to the intensive care unit.
b. The patient will be discharged back to his room on the nursing unit.
c. The patient will remain in the PACU until the score improves.
d. The patient will return to the operating room for surgical evaluation.
B
Feedback
A If the patient's condition is still poor after two to three hours (an Aldrete score below 8), the physician may transfer the patient to an intensive care unit.
B The patient must receive a composite Aldrete score of 8 to 10 before being discharged from the PACU. The nurse can anticipate that the patient with an Aldrete score of 8 will be discharged back to his room on the nursing unit.
C If the patient's condition is still poor after two to three hours (an Aldrete score below 8), the physician may lengthen the patient's stay in the PACU until the score improves.
D A patient with an Aldrete score of 8 is unlikely to return to the operating room for surgical evaluation.
You might also like to view...
Which laboratory result would be a cause for concern if exhibited by a woman at her first prenatal visit during the second month of her pregnancy?
a. Hematocrit 38%, hemoglobin 13 g/dl b. White blood cell count 6000/mm3 c. Platelets 300,000/mm3 d. Rubella titer 1:6
An LPN says to an RN, "I don't understand why I get paid less, yet we do the same thing here at work." What role does the RN have in the healthcare setting that the LPN does not?
A) The RN only cares for clients with well-defined, common problems. B) The RN's role is more complex and involves management and coordination of all the care provided to a group of clients. C) The RN is responsible for everything that the LPN does in the healthcare setting. D) The RN is the only provider that cares for clients with common problems that require a high level of technical competency and expertise.
A college football player is brought to the emergency room by paramedics after a blunt trauma injury received during game. There is a high suspicion that the patient has sustained an injury to his kidneys from being tackled from behind
The emergency room nurse caring for the patient reviews the initial orders written by the health care provider and notes that an order has been written to collect all voided urine and send it to the laboratory for analysis. The nurse understands that this nursing intervention is important because: A) Hematuria is the most common manifestation of renal trauma, and blood losses may be microscopic, so laboratory analysis is essential. B) Intake and output calculations are essential, and the laboratory will calculate the precise urine output produced by this patient. C) A creatinine clearance study may be ordered at a later time, and the laboratory will hold all urine until it is determined if the test will be necessary. D) There is great concern about electrolyte imbalances, and the laboratory will monitor the urine for sodium concentrations.
The nurse should assess a child who has had a tonsillectomy for which problem?
a. Frequent swallowing b. Inspiratory stridor c. Rhonchi d. Elevated white blood cell count