Postoperatively, the postanesthesia care unit (PACu) nurse tells you Baby Girl R.. did well during surgery and
is ready to return to your unit.
When she arrives, you and the nursing assistive personnel start putting on the
monitors. R.'s father is present, and he asks you to give the baby some pain medication. The open warmer
starts alarming because the infant's skin temperature is reading 35 ° C (95 ° F). you look to see whether the
temperature probe has fallen off. you see that it is still on, but you notice that the suture from surgery is no
longer intact. The oxygen monitor reads 71% saturation with an accurate waveform, and the pulse oximeter
probe is correctly placed. The respiratory rate is 25 breaths/min and heart rate is 102 beats/min.
Which of the issues should you address first? Give rationale.
The oxygen saturation is the priority. Airway and breathing have been affected and take priority over
everything else. Temperature of 35 ° C (95 ° F) might be a contributing factor to be addressed after
the patient's condition has been stabilized. Then address the suture's integrity.
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A client tells the nurse that she wants to be checked for a bowel infection because she has been constipated. The nurse should instruct this client that constipation is NOT caused by:
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A patient living independently has command hallucinations to report terrorism to the Federal Bureau of Investigation (FBI) and to shout warnings to neighbors. After a short hospitalization, the patient is prohibited from returning to the apartment
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