The nurse is performing a postoperative assessment on a patient who has just returned from a hernia repair. The patient's blood pressure is 90/60 mm Hg and apical pulse is 102. The nurse's first action would be to:
1. check the dressing for bleeding.
2. notify the RN.
3. document the vital signs.
4. increase the rate of infusion of IV fluids.
1
A decrease in blood pressure and tachycardia could indicate postoperative bleeding. The first action of the nurse should be to check the dressing and then report to the RN.
You might also like to view...
What instruction should a nurse provide to a patient who has been diagnosed with stress incontinence?
a. "Restrict fluid intake to less than 1000 mL/day." b. "Avoid fluids such as tea, coffee, and co-la." c. "Delay voiding until you feel the urge to void." d. "Void no more often than every 4 hours."
A male patient's prostate-specific antigen level was 2 ng/mL. However, the patient was diagnosed with prostate cancer. What additional laboratory test was done to determine this diagnosis?
1. acid phosphatase 2. albumin 3. bilirubin 4. calcium
What thoroughly describes a phenomenon?
A) Theory B) Descriptive theory C) Grand theory D) Middle-range theories
A rapid onset and varies in pain intensity.
A. Acute Pain B. Chronic Pain C. Cancer Pain