What would you do to rectify this situation? Provide rationales for your actions
You receive a patient into the PACU and as the anaesthetist is handing over to you, you realise that you do not know what the surgery entailed or what the possible complications of that surgery might be.
What will be an ideal response?
Answer:
The nurse must go on a fact-finding mission, asking the anaesthetist at the time of the handover, the more senior nurses in PACU or the surgeon/surgical registrar when they bring out the patient notes.
Knowing the specific possible complications that may occur for each procedure enables the nurse to observe for these alterations in the patient's vital signs and condition, thus facilitating a safer recovery experience, as anticipation and early detection of deterioration are illuminated.
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The nurse measures a client's vital signs according to agency policy, as well as: Standard Text: Select all that apply
1. Before discharge. 2. At least every 6 hours if the client has had an elevated temperature within the past 24 hours. 3. Before calling the physician. 4. Before transfer to a new unit. 5. On admission to a facility.
Terminologies can be incorporated within the electronic health record to improve practice. Which should the informatics nurse explain are uses for this technology in healthcare? Select all that apply.
A) Classification B) Reference C) Point of care D) Coding E) Denial of claims
When taking a cultural history, all of the following are important. Which one is most important to later plan for patient safety?
a) Obtain data directly from the patient. b) Show empathy and respect; build rapport. c) Ask about use of alternative medicine and folk remedies. d) Ask open-ended questions when beginning the assessment.
A client has a sinus infection with large amounts of exudate. Which of the following assessment findings would be most likely?
A) Crepitus over the maxillary sinuses B) Frontal sinuses nontender to palpation C) Red, tender tympanic membrane D) Increased amounts of cerumen