Criteria for discharge of the postoperative client from the post-anesthetic care unit (PACU) includes which of the following?
a. The client has been in the PACU at least 30 minutes.
b. The client's dressing is in place.
c. The client is fully awake.
d. The client is able to stand up.
C
The Aldrete score or post-anesthetic recovery score is a tool PACU nurses use to objectively assess the physical status of clients recovering from anesthesia; to be discharged from the PACU, the client must have an Aldrete score of 8 to 10 (fully awake). Discharge from the PACU is determined by the postanesthesia nurse; if the client's Aldrete score is less than 7, an order for discharge must be written by the client's surgeon or anesthesia provider.
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A nurse working in a long-term care facility is admitting an 85-year-old resident of Hispanic descent diagnosed with Alzheimer disease. What should this nurse take into consideration when caring for the resident? (Select all that apply.)
a. Cultural background has an important role in determining the resident's status b. The resident will be culturally sensitive to caregivers c. Home remedies may have value even if harmful d. The resident will have a strong sense of trust for health care workers e. Communication should involve gesturing whenever possible
A client tells the nurse that he is having difficulty sleeping. He says, "I don't want to use sleeping pills, but I'm thinking about getting some melatonin." Which of the following is most important for the nurse to include in a response to the client?
1) "Melatonin is an effective treatment for certain sleep disorders." 2) "Melatonin appears to be a relatively safe sleep aid for most people." 3) "You may experience some side effects, such as elevated blood pressure." 4) "Before taking melatonin, you should consult your primary care provider."
Which of the following clients is most at risk for malnutrition?
A. 80-year-old man residing in an assisted-living facility B. 57-year-old woman with inflammatory bowel disease C. 22-year-old man who plays several college sports D. 44-year-old woman on a weight loss regimen
Moving an injured patient may ____________________ an injury.
Fill in the blank(s) with the appropriate word(s).