A patient has just arrived in the recovery room. As part of the evaluation for determining discharge from the postanesthesia recovery unit, what will be the nurse's next action?
1. Assess the patient's respirations, oxygen saturation, consciousness, circulation, and activity.
2. Assess whether the patient wants the family in the recovery room.
3. Assess the patient for pain.
4. Take the patient's temperature.
1
Rationale 1: Assessments of the patient's respirations, oxygen saturation, consciousness, circulation, and activity are used to determine progress toward discharge.
Rationale 2: The family may be allowed in the recovery room in many institutions, but their presence is usually delayed until the patient has been assessed and is arousable.
Rationale 3: Assessing for pain helps the patient's comfort but is not part of the discharge criteria.
Rationale 4: Temperature is vital to assessing hypothermia, but it is not one of the discharge criteria.
You might also like to view...
A woman has been instructed by her physician to take vitamin E to assist in decreasing symptoms of fibrocystic breast disease. What substance is required for digestion and absorption of vitamin E?
A) Hydrochloric acid B) Bile C) Pancreatic juice D) Gastric juice
The nurse is evaluating a patient's laboratory results. Based upon the laboratory findings, what results will cause the release of an antidiuretic hormone (ADH)?
A) Increased serum sodium B) Decreased serum sodium C) Decrease in serum osmolality D) Decrease in thirst
What is the priority nursing diagnosis for the client with hypothyroidism?
A. Hypothermia B. Disturbed Body Image C. Disturbed Thought Processes D. Imbalanced Nutrition: More than Body Requirements
A client asks the nurse, "Can you explain to us how to use the basal body temperature method to detect ovulation and prevent pregnancy?" What response by the nurse is best?
1. "Take your temperature every evening at the same time and keep a record for a period of several weeks. A noticeable drop in temperature indicates that ovulation has occurred." 2. "Take your temperature every day at the same time and keep a record of the findings. A noticeable rise in temperature indicates ovulation." 3. "Take your temperature each day, immediately upon awakening, and keep a record of each finding. A noticeable rise in temperature indicates that ovulation is about to occur." 4. "This is an unscientific and unproven method of determining ovulation, and is not recognized as a means of birth control."