The nurse is evaluating the client in the hospital's postanesthesia care unit (PACU) and deter-mines that the Aldrete score is 8. Based on this assessment, the nurse anticipates that the client will:

1. Be sent to the intensive care unit
2. Be discharged back to his or her room on the nursing unit
3. Remain in the PACU until the score improves
4. Return to the operating room for surgical evaluation


ANS: 2
The client must receive a composite Aldrete score of 8 to 10 before being discharged from the PACU. The nurse may anticipate that the client with an Aldrete score of 8 will be discharged back to his or her room on the nursing unit. If the client's condition is still poor 2 to 3 hours after surgery (an Aldrete score below 8), the health care provider may transfer the client to an intensive care unit. If the client's condition is still poor 2 to 3 hours after surgery (an Aldrete score below 8), the health care provider may lengthen the client's stay in the PACU until the score improves. A client with an Aldrete score of 8 is unlikely to return to the operating room for surgical evalua-tion.

Nursing

You might also like to view...

A patient is having an operation in the morning. During the nurse's shift, the patient asks several questions that lead the nurse to determine that the patient does not understand the procedure. The best action by the nurse is to

a. call the surgeon to come back and explain the procedure. b. pass this information on to the day shift in shift report. c. reassure the patient that he or she understood the operation correctly earlier. d. try to explain the operation so that the patient understands.

Nursing

A multisystem healthcare organization is adding an informatics department to the main hospital. Which subdiscipline should be added to support clinical care? Select all that apply.

A) Bioinformatics B) Dental informatics C) Nursing informatics D) Medical informatics E) Structural informatics

Nursing

The nurse is reviewing a patient's medication history and notes that the patient is taking the cholinergic blocker tolterodine (Detrol). Which is an indication for this medication?

a. Irritable bowel disease b. Induction of mydriasis c. Urge incontinence d. Reduction of secretions preoperatively

Nursing

A woman with gestational diabetes has had little or no experience reading and interpreting glucose levels. She shows the nurse her readings for the past few days

Which one should the nurse tell her indicates a need for adjustment (insulin or sugar)? 1. 75 mg/dl before lunch; this is low, better eat now 2. 115 mg/dl 1 hour after lunch; this is a little high, maybe eat a little less next time 3. 115 mg/dl 2 hours after lunch; this is too high, time for insulin 4. 60 mg/dl just after waking up from a nap; this is too low, maybe eat a snack be-fore going to sleep

Nursing