The nurse caring for the immediate postoperative patient who had a total knee replacement makes careful documentation on the patient's:

1. quality of pulses in effected limb.
2. degree of nausea and vomiting.
3. understanding of the procedure.
4. amount of pain.


1
Assessments related to postoperative circulatory efficiency are priority assessments.

PTS: 1 DIF: Cognitive Level: Application REF: 897
OBJ: 6 TOP: Postoperative Care of Total Knee
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity

Nursing

You might also like to view...

At the request of the family, the instructor makes an assignment change for a black male student who had been assigned to take care of a postpartum Muslim woman

The culturally competent nurse is aware that the request by the family was made because: 1. Muslim culture does not allow black practitioners to care for women. 2. Muslim culture prefers that women health care providers care for Muslim women. 3. the husband will be present and he will object. 4. after childbirth, all care must be performed by women.

Nursing

Which function or assessment finding in a client being admitted to the postanesthesia care unit after surgery is the best indication that the client's respiratory status does not require immediate attention?

A. The client is able to talk. B. The client is alert and oriented. C. The client's oxygen saturation is 90%. D. The client's chest rises and falls rhythmically during respiration.

Nursing

A 15-year-old patient is hospitalized after a suicide attempt. The adolescent lives with his mother, stepfather, and several siblings. When performing a family assessment, the nurse must first determine

a. how the family expresses and manages emotion. b. the names and relationships of the patient's family members. c. the communication patterns between the patient and parents. d. the meaning the patient's suicide attempt has for family members.

Nursing

While caring for a woman who underwent a primary cesarean section for a breech presentation, she states this baby seems to have so much more mucus than her first baby. Concerned, she asks why this has happened. How should the nurse respond?

A) "Babies born by cesarean section have more respiratory complications because they do not have the benefit of having the mucus in their lungs removed by the pressure experienced in the birth canal." B) "There is no scientific reason for this occurrence." C) "All babies are different so it is unwise to make comparisons." D) "The pain medication given during the surgery may have contributed to the mucus build up."

Nursing