A patient returns to the observation area after outpatient submucous resection for a deviated septum. Which of the following observations would most concern the nurse?
a. The patient's blood pressure is 136/88 mm Hg.
b. The patient complains of tenderness in the nasal area.
c. The patient swallows frequently.
d. The patient's moustache dressing has a 2-cm area of blood on it.
ANS: C
Excessive swallowing may indicate blood running down the back of the throat. The blood pressure is within normal limits; some tenderness and bleeding is expected.
You might also like to view...
Why should a nurse assess a patient's limbs and position the limbs frequently after a regional anesthesia?
a. Pain is not perceived, although motion is possible. b. Rashes and skin eruptions would indicate an allergy. c. Permanent paralysis is a concern. d. Contracture deformities may occur.
List medications that may cause urinary retention.
What will be an ideal response?
The nurse notes that urine does not flow after a female patient is catheterized. The nurse believes that the catheter has been placed into the vagina. Which action should the nurse take?
a. Remove the catheter and reinsert it. b. Irrigate the catheter with saline. c. Leave the catheter in place and insert another one. d. Insert the catheter 9 to 10 inches farther into the patient to verify that it is in the vagina.
A person in a diabetic coma would be administered which of the following?
A. glucagon B. sugar C. bicarbonate of soda D. insulin