The client with cirrhosis has had a liver transplant and has returned to the unit following surgery. Which of the following is a postoperative priority outcome for this client?

1. Normal pupil reaction
2. Ability to move the legs
3. Moist membranes of the mouth
4. Normal body temperature


4. Normal body temperature

Rationale:
The postoperative liver transplant client often is hypothermic following surgery. Careful monitoring and rewarming techniques are a priority of care. Normal pupil reaction, leg movement, and moist mouth membranes are all normal findings for any postoperative client.

Nursing

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An elderly client is received into the postanesthesia recovery room (PACU) following a 6-hour abdominal surgery. The client received several liters of IV fluids during the surgery

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A patient received a tuberculosis skin test injection of purified protein derivative (PPD) 72 hours ago. Which assessment finding of the test site does the nurse interpret as a positive reaction?

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Nursing