The nurse evaluates the clients' postoperative status in the ambulatory surgery center Which client data does the nurse use to help determine the client is ready for discharge from the surgery center?

Question

1. Eupnea
2. Tachycardia
3. Hypotension
4. Hyperthermia

Answer 1

1
1. The client who is breathing without difficulty meets one of the criteria of a client ready for discharge from the PACU.
2. A client with tachycardia in the PACU has a clinical indicator consistent with bleeding, hypotension, or hypoxemia; the nurse avoids discharging a client with tachycardia without further investigation unless this is the client's baseline.
3. A client with hypotension in the PACU has a clinical indicator consistent with incomplete recovery from anesthesia, oversedation, bleeding, or cardiovascular insufficiency; the nurse cannot discharge this client from the PACU with further investigation.
4. A client with hyperthermia in the PACU is a very unusual finding and is not ready for discharge until the surgical team rules out malignant hyperthermia. If the client has a fever from an infection, it is unlikely to be a result of the surgery.