Immediate postoperative assessment of a patient reveals a body temperature of 104º F. Select the nurse's first action
a. Administer acetaminophen as ordered and recheck in 1 hour.
b. Apply a cooling blanket per the agency's protocol.
c. Collaborate with the physician regarding the risk of malignant hyperthermia.
d. Assess the patient for signs and symptoms of a wound infection.
c
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The nurse is teaching a client about bladder training after a surgical procedure designed to reduce urinary incontinence. Which of the following statements by the client indicates understanding of the teaching provided?
A) "I should try to see how long I can hold my urine before voiding." B) "Research has not supported theories linking dietary intake to bladder irritation." C) "I should force fluids to promote my bladder to hold more urine." D) "I will gradually space my voiding times to longer periods."
A patient prescribed ezetimibe (Zetia) has developed swelling around the eyes, nose, and lips. What is your priority action at this time?
a. Elevate the head of the bed. b. Notify the prescriber. c. Assess the patient's airway. d. Check the patient's blood pressure.
The parents ask if blood work can be drawn from their daughter while she is in the playroom and distracted from this procedure. The best answer by the nurse is:
a. "No, definitely not, because it is against hospital rules to draw blood there." b. "Yes, if you prefer the blood to be drawn there, we will abide by your wishes." c. "The playroom is a safe haven there no painful treatments or scenes are encountered." d. "If your child agrees to have the blood drawn in the playroom and other parents don't object."
Signal for your supervisor immediately if you notice that a postoperative patient is
A) repeatedly thirsty. B) choking. C) moaning. D) all of the above