The nurse is caring for a postoperative kidney surgery patient
The nurse is aware that bleeding is a major complication of kidney surgery and that if it goes undetected and untreated the result can be hypovolemia and hemorrhagic shock in the patient. What assessment parameters are necessary to assess for bleeding in this postoperative patient?
A) Skin condition
B) Pain
C) Level of consciousness
D) Oral intake
E) Urinary drainage system
Ans: C
Feedback: Bleeding is a major complication of kidney surgery. If undetected and untreated, this can result in hypovolemia and hemorrhagic shock. The nurse's role is to observe for these complications, to report their signs and symptoms, and to administer prescribed parenteral fluids and blood and blood components. Monitoring of vital signs, skin condition, the urinary drainage system, the surgical incision, and the level of consciousness is necessary to detect evidence of bleeding, decreased circulating blood, and fluid volume and cardiac output. Frequent monitoring of vital signs (initially monitored at least at hourly intervals) and urinary output is necessary for early detection of these complications. When assessing this patient for postoperative bleeding, you would not include assessing pain or oral intake.
You might also like to view...
The nurse is assisting in the creation of content for a community program on Healthy People 2020. What should the nurse include as overarching goals of this initiative? (Select all that apply.)
1. Improve maternal, infant, and child health. 2. Create social and physical environments that promote good health for all. 3. Achieve health equity, eliminate disparities, and improve the health of all groups. 4. Promote quality of life, healthy development, and healthy behaviors across all life stages. 5. Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death.
The nurse teaching women the importance of good nutrition prior to pregnancy says that which of the following are particularly important to the developing fetus even before the woman recognizes she is pregnant?
A) folic acid and iron B) calcium and niacin C) calcium and folic acid D) calcium and iron
A preterm fetus
A. Is more susceptible to hypoxic insults during labor than the term fetus B. Requires internal monitoring if oxytocin is used for labor induction or augmentation C. Should be born via cesarean section unless there are maternal contraindications
During the home care nurse's initial visit to a patient's home, it is important to provide the patient and family with which of the following information?
A) Other available community resources to meet their needs B) Information on other patients in the area with similar health care needs C) The nurse's home address and phone number D) Dates and times of all scheduled home care visits