The nurse is planning care for client who weighs70 kg client and is post-op day 1 after spinal fusion surgery. Which is an appropriate outcome for this client?
A) The client will remain prone position.
B) The client will maintain urine output at 20 ml per hour.
C) The client will use the incentive spirometer every 2 hours.
D) The client will void 12 hours after surgery.
Answer: C
An appropriate outcome for this client is the use of an incentive spirometer every 2 hours. The client is not expected to remain in a prone position. Urine output should be at least 30 mL per hour and the client is expected to void within 8 hours of surgery.
You might also like to view...
There are a variety of methods that can be used in planning and implementing an effective job search. Which of the following is not usually a productive method to use for job searches?
a. networking through family, friends, and acquaintances b. reviewing positions listed on hospitals Websites c. attending job fairs d. showing up at as many hospitals as you can and asking for a job
While caring for a 4-year-old boy with a broken arm and an infected laceration from a fall, the nurse notes an elevated heart rate. Which intervention would be least appropriate?
A) Administering antipyretics as ordered for fever B) Using a defibrillator to reduce the heart rate C) Administering analgesics to reduce pain D) Allowing the parents to comfort the child
Using the Consensus formula, calculate the amount of intravenous solution that will be administered in the first 8 hours for a burn patient with 40% TBSA, weight of 52 kg, and prescribed 2 mL/kg. _____ mL
Record your answer rounding to the nearest whole number.
Which of the following nursing interventions would be appropriate after a wound evisceration?
1. Place the client in high-Fowler's position. 2. Give the client fluids to prevent shock. 3. Push the organs back inside and tape up the wound. 4. Apply a sterile saline-soaked dressing and cover.