When planning care for a PACU or recovery room patient, how often should the nurse plan to assess the patient?
a. Every 5 minutes
b. Every 15 minutes
c. Every 30 minutes
d. Hourly
B
Conduct complete assessment of all vital signs. Compare findings with the patient's normal baseline. Continue assessing vital signs at least every 15 minutes until the patient's condition stabilizes.
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A patient recovering from alcoholism has been taking disulfiram for a week. On a return visit to the clinic, the patient tells the nurse that he is experiencing flushing and warming of the face. What may be causing this reaction?
a. The patient may be allergic to the medication. b. The patient may be putting too much salt in his diet. c. The patient may still have alcohol in his system. d. The patient may have no alcohol in his system.
A college student was sexually assaulted when out on a date. After several weeks of crisis intervention therapy, which client statement should indicate to a nurse that the student is handling this situation in a healthy manner?
A. "I know that it was not my fault." B. "My boyfriend has trouble controlling his sexual urges." C. "If I don't put myself in a dating situation, I won't be at risk." D. "Next time I will think twice about wearing a sexy dress."
The bladder voids approximately ________ mL of urine at a time.
Fill in the blank(s) with the appropriate word(s).
What is the nurse’s chief concern when a mother who delivered 2 hours ago has a blood pressure change from 112/70 to 142/94?
1. Developing preeclampsia 2. Fluid overload 3. Puerperal hypertension 4. Worsening systolic heart murmur