After discharge from the PACU, the client returned to the surgical nursing unit at 10:00 A.M. It is now 11:30 A.M. and the client is not experiencing any complications or difficulties
How often should the nurse plan to measure the client's vital signs? a. Every 15 minutes
b. Every 30 minutes
c. Every hour
d. Every four hours
C
Vital sign monitoring on the postoperative nursing unit should initially be hourly for four hours, and then every four hours, unless complications develop.
On the client's arrival in recovery, the nurse repeats vital sign monitoring every 15 minutes, but not for the client who is stable on the surgical nursing unit.
The client who is not experiencing any complications or difficulties does not require vital sign measurement every 30 minutes.
After the client's vital signs are obtained hourly for four hours and remain stable, the client may have his or her vital signs measured every four hours.
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A 45-year-old woman comes to the clinic for a routine physical check-up. She confides to the nurse that she is afraid that she is going to have mental problems when she goes through "the change of life."
What would be the nurse's best response to this patient? A) "Going through the "change of life" is easy, just let it happen and you will find a different life that is every bit as good." B) "Going through the "change of life" can be scary because some women feel that they are losing their womanhood." C) "Going through the "change of life" is a normal occurrence in a woman's life and it is rarely accompanied by nervous symptoms or illness." D) "Going through the "change of life" is a stressful time for all women and sometimes a woman feels like she is going crazy."
The nurse documents that a toddler is engaging in the expected type of play according to age if the nature of the toddler's play is:
1. parallel. 2. interactive. 3. socialized. 4. shared.
What instructions should be provided to the client scheduled to have fecal occult blood testing (FOBT)?
A. "You will need to avoid eating meat for 48 hours before the test." B. "You will need to fast for 12 hours before the test." C. "You will be given a cleansing enema the morning of the test." D. "You will be sedated and will require someone to accompany you home."
What functional ability should the nurse expect in a child with a spinal cord lesion at C7?
a. Complete respiratory paralysis b. No voluntary function of upper extremities c. Inability to roll over or attain sitting position d. Almost complete independence within limitations of wheelchair