Question

A client had abdominal surgery yesterday, following the morning assessment, the nurse detects fine crackle bilaterally...

A client had abdominal surgery yesterday, following the morning assessment, the nurse detects fine crackle bilaterally in the posterior lower lobes. the nurse should reassess the lungs how frequently?
a. 10-15min
b. 4 hours
c. 12 hours
d. once daily
2. A client is two days postoperative from surgery. The nurse has just taken recorded a temperature of 100.8F in general, how often should the nurse assess the client?
a. every 12 hours
b. every 8 hours
c.every 4 hours
d. every 10 min

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Answer #1

Ans) 1) a. 10 - 15 min

Explaination:

Assess the response after 15 min, fine crackles and wheeze on auscultation of the chest.

2) c. every 4 hours

Explaination:

Current protocol for post-operative patients admitted to medical-surgical/telemetry units states vitals are taken every 15 minutes for 1 hour, every 30 minutes for 2 hours and then every 4 hours for 24 hours.

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