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The nurse is reviewing the chart of a post-op client. Based on the information shown, what intervention should the nurse
Posted: Thu Sep 16, 2021 5:15 am
by answerhappygod
- The Nurse Is Reviewing The Chart Of A Post Op Client Based On The Information Shown What Intervention Should The Nurse 1 (80.35 KiB) Viewed 50 times
The nurse is reviewing the chart of a post-op client. Based on the information shown, what intervention should the nurse anticipate? Vital Signs: Medications: Blood pressure: 90/55 Heart rate: 101 Hydrocodone/acetaminophen 5-325 mg PO every 4 hours PRN pain Docusate sodium 100 mg daily Respiratory rate: 16 SPO2: 98% Temperature: 98.9 degrees Fahrenheit Assessment: Orders: General appearance: weak Skin: dry, scaly; incision CD&I Saline lock IV Assess intake and output every 8 hours Discharge tomorrow Mucous membranes: dry Lungs: CTA Gl: nausea and vomiting; active sounds X4 quadrants Elimination: urine amber and cloudy; last BM 5 days ago Cardiac: sinus tachycardia Pain: 7/10 in surgical incision A. Administer pain medications. B. Request soap suds enema. C. Check blood pressure again. D. Ask MD to resume IVF.