A client who receives general or regional anesthesia in an ambulatory surgery center:
1. Has to meet identified criteria in order to be discharged home
2. Will remain in the phase I recovery area longer than a hospitalized client
3. Is allowed to ambulate as soon as being admitted to the recovery area
4. Is immediately given liberal amounts of fluid to promote the excretion of the an-esthesia
ANS: 1
Ambulatory surgical clients are discharged to home when they meet certain criteria. With new anesthetic agents and techniques, many ambulatory surgery clients are able to bypass phase I. However, if the client is in need of close monitoring, the client is assessed and cared for in the same fashion as inpatient clients in phase I. Whether the client will be able to ambulate as soon as being admitted to the recovery area depends upon the ambulatory client's condition, type of sur-gery, and anesthesia. This is not a true statement for all ambulatory surgery clients. The admin-istration of fluids is dependent upon the client's condition and type of surgery. The excretion of anesthetic depends on many factors, including the route of administration (e.g., fluids will not promote the excretion of anesthetic gases). Oral fluids cannot be given until it is determined the client has a gag reflex and bowel sounds. Fluids are often given to prevent circulatory complica-tions.
You might also like to view...
The nurse consciously integrates activities into a daily routine that facilitates self-care. What benefits can the nurse expect to gain from this habit? (Select all that apply.)
A) Enriched interactions with patients B) Improved ability to demonstrate integrity C) Increased knowledge base of nursing practice D) Reprioritization of his or her patients' needs over his or her own E) Higher quality relationships with his friends and family
Your patient is receiving carmustine, a chemotherapy agent. A significant side effect of this medication is thrombocytopenia. Which symptom would the nurse assess for in patients at risk for thrombocytopenia?
A) Interrupted sleep pattern B) Hot flashes C) Nose bleed D) Increased weight
Which finding on the prenatal record requires nursing intervention?
a. Hepatitis B surface antigen positive b. HIV, ELISA reactive, Western Blot negative c. Maternal yeast infection treated during pregnancy d. VDRL reactive, FTA-ABS negative
The nurse is preparing to provide disease management care to a patient with heart failure. On what should the nurse focus when caring for this patient? Select all that apply.
A. Disease process B. Medication management C. Daily monitoring D. Frequency of hospitalization E. Transfer to long-term care