The nurse, caring for a postoperative client, will assess vital signs:
1. every 15 minutes for the first hour.
2. every 20 minutes for the first hour.
3. every 30 minutes for the first hour.
4. not important at this point.
1
Vital signs are performed every 15 minutes for the first hour and may be done more often if the client is less stable. Vital sign assessment is extremely important and should be done more frequently than every 20 or 30 minutes.
You might also like to view...
State legislatures give authority to administrative bodies, such as state boards of nursing, to:
a. create statutory laws. b. establish regulatory laws. c. try case law cases. d. create laws based on social mores.
The body's tissues and cells function efficiently within a relatively narrow temperature range, from 36° to 38° C (96.8° to 100.4° F)
Factors that cause fluctuations in body temperature include which of the following? (Select all that apply.) a. The body's core temperature b. Age c. Time of day d. Circadian rhythm e. physical activity
An IV of D5W 500 mL was ordered to be infused over 10 hours at a rate of 13 gtt/min. The administration set delivers 60 gtt/mL. After 3 hours, you notice that 300 mL of IV solution is left. Recalculate the gtt/min for the remaining IV solution. _____
a. 43 b. 11 c. 25 d. 4
A school-age client with diabetes experiences episodes of hyperglycemia despite receiving teaching about foods and snacks. Which food choice that the client makes indicates to the nurse that additional teaching is required?
a. Popcorn b. Hot dogs c. Peanut butter d. Orange juice