The recovery room nurse is preparing to assist with the care of several postoperative patients. Which patient would the nurse prioritize care for regarding the potential for postoperative nausea and vomiting (PONV)?
a. A 5-year-old child undergoing a closed reduction procedure with regional anesthesia
b. A 50-year-old woman undergoing a total hysterectomy with general anesthesia
c. A 27-year-old man undergoing a middle ear manipulation with general anesthesia
d. An 80-year-old man undergoing a total hip replacement with spinal anesthesia
ANS: B
Women have a higher incidence of PONV, possibly because of hormonal differences. Patients who have had general anesthesia have a higher incidence of PONV than those who have had regional anesthesia. Children ages 11 to 14 years have the highest incidence of PONV based on age group. Spinal anesthesia is generally least emetogenic.
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