Location: Surgical Unit Situation: A 72-year old male who un…
Location: Surgical Unit Situation: A 72-year old male who underwent an open bowel surgery. He is refusing to ambulate because of pain. Background: He presented to the hospital with nausea, vomiting, and severe abdominal pain 3 days ago and was admitted for emergency surgery. He has a history of hypertension and smoking. Assessment: He is awake and alert. Vital signs: temperature 99.3F, heart rate 100, respirations 26, BP 130/68 and O2 96% on room air. He does not like to use the incentive spirometer. He has a midline abdominal incision with no signs of infection. Bowel sounds are hypoactive but present. He had a bowel movement yesterday and is tolerating a regular diet. He voided 400mL. Abdominal pain has been controlled by a combination of medications. Recommendation: He is due for vital signs, which are every 4 hours. Medications given this morning are charted in the MAR. The nurse knows that the most common cause of a postoperative DVT is A)____________________ due to B)______________________, which could be prevented by C)____________________________. (There is only 1 answer for A, one answer for B, and one answer for C)
Read DetailsDuring recovery from a cerebrovascular accident (CVA), a fem…
During recovery from a cerebrovascular accident (CVA), a female client is given nothing by mouth, to help prevent aspiration. To determine when the client is ready for a liquid diet, the nurse assesses the client’s swallowing ability once each shift. This assessment evaluates:
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