*NURSING > ATI MEDICAL SURGICAL > ATI Medical Surgical Nursing, Care of Postoperative Patients (All)
ATI Medical Surgical Nursing, Care of Postoperative Patients
Document Content and Description Below
1. The nurse is caring for a client who had surgery 24 hours ago. He is alert and oriented when awakened and reports pain, but goes back to sleep when not being stimulated. He is on patient control... led analgesia (PCA). What is the nurse’s next action? a. Push the PCA control for the client. b. Discontinue the PCA immediately. c. Assess the client’s respiratory status. d. Keep the client awake as much as possible. ANS: C The client should be assessed further before action is taken. If the client cannot stay awake 24 hours after surgery, there may be other problems. The nurse should assess respiratory rate and depth and lung sounds, as well as oxygen status. The nurse should never push the PCA for the client, and pain should be assessed before decisions are made and interventions taken. DIF: Cognitive Level: Application/Applying or higher REF: N/A TOP: Client Needs Category: Physiological Integrity (Reduction of Risk Potential—Potential for Complications From Surgical Procedures and Health Alterations) MSC: Integrated Process: Nursing Process (Assessment) [Show More]
Last updated: 4 months ago
Preview 5 out of 30 pages
Loading document previews ...
Buy this document to get the full access instantly
Instant Download Access after purchase
Buy NowInstant download
We Accept:
Reviews( 0 )
$16.00
Can't find what you want? Try our AI powered Search
Document information
Connected school, study & course
About the document
Uploaded On
Mar 02, 2025
Number of pages
30
Written in
Additional information
This document has been written for:
Uploaded
Mar 02, 2025
Downloads
0
Views
29
 (1).png)
