post op quiz -all answers are correct
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infection, activity restrictions, and surgical follow-up. 1 The oncoming nurse assigned to Ms. Sara Lin has received an SBAR report from the previous nurse. Based on the information provided, the n... urse recognizes to first focus on Choose Answer.. in order to Choose Answer.. . Time spent - 00:00:54 Your Response:assessing vital signs and pain status, prioritize the plan of care Rationale:The SBAR provided indicates that the client is stable and will need preparation for discharge. Vital signs and pain level should be assessed initially to determine the need for additional nursing interventions and to prioritize care before the client leaves the hospital. Any changes in vital signs or pain level should be addressed prior to initiating discharge instructions or assisting with incentive spirometry. The wound currently has serosanguinous drainage, which is a normal finding that would not require culture. Remediation: Lippincott Procedures, Assessment techniques Lippincott Procedures, Pain assessment Taylor et al., Fundamentals of Nursing, 9th Edition, p. 149 Taylor et al., Fundamentals of Nursing, 9th Edition, p. 643 Craven et al., Fundamentals of Nursing, 9th Edition, pp. 83-85 2 When performing an initial assessment on Ms. Lin, the nurse understands which of the following finding(s) would indicate the need for further assessment? (Select all that apply.) [Show More]
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