Upon assessment of the client to inspect the abdominal dressing, you find the original surgical dressing saturated with fresh bloody drainage. What do you do?
Ans:- when we find the original surgical dressing saturated with fresh bloody drainage on assessment of the client we will take following steps:-
1. Will reinforce the dressing,
2. Will notify to the on duty surgen,
3. Will monitor vitals of the client closely,
4. Will follow the orders of the doctor .
Upon assessment of the client to inspect the abdominal dressing, you find the original surgical dressing...
1. Who changes the first surgical dressing? 2. The nurse notes a small amount of shadow drainage on a dressing. What should she do and why? 3. The first surgical dressing is saturated and oozing sanguineous drainage onto the sheets. What should the nurse do first? 4. A 65-year-old patient has a diagnosis of diabetes. What causes he/she to be at an increased risk for delayed wound healing? 5. A patient is being seen at the emergency department with a...
A nurse caring for a client with appendicitis and is preparing to perform an abdominal assessment. What is the correct sequence for performing an abdominal assessment?
Case Study, Chapter 14, Perioperative Care April a partial abdominal hysterectomy (ovaries and fallopian tubes remain). The client has an 18- gauge IV site per right forearm (FA) with DSRL at 125 mL/hr infusing per IV infusion pump. West, a 44-year-old female client, arrived to the medical-surgical unit from the PACU after The lower horizontal abdominal dressing with ABD pad folded in half and covered with a Tegaderm is dry and intact. The JP drain has 30 mL of sanguineous...
You are caring for J.B., a 56-year-old woman with colon cancer. PHM includes colon resection followed by combined chemotherapy approximately 18 months ago; recently diagnosed with recurrence of colon cancer, chemotherapy was administered for five of the eight schedules cycles; previous significant weight loss(current height , 67”; weight, 105 pounds); 5-packed-year ( 2 PPD x 25 yrs) smoking his. J.B., is admitted acute N/V and dehydration. She is nutritionally depilated. Her physician determines that diagnostic evaluation requires exploratory laparotomy. VS...
You are caring for J.B., a 56-year-old woman with colon cancer. PHM includes colon resection followed by combined chemotherapy approximately 18 months ago; recently diagnosed with recurrence of colon cancer, chemotherapy was administered for five of the eight schedules cycles; previous significant weight loss(current height , 67”; weight, 105 pounds); 5-packed-year ( 2 PPD x 25 yrs) smoking his. J.B., is admitted acute N/V and dehydration. She is nutritionally depilated. Her physician determines that diagnostic evaluation requires exploratory laparotomy. VS...
Susan Lee is a 60 year old female admitted to the medical surgical floor complaining of abdominal pain on and off for 4 months. Her complaints were constipation, bloating, abdominal pain and indigestion. Her CT scan diagnosed an abdominal mass. Susan’s past medical history includes COPD, Diabetes type 1, and vascular issues. Her medications include the following: Location: Medical Surgical Floor Susan is stable to leave the PACU. SBAR to the medical surgical floor is as follows, and you are...
Susan Lee is a 60 year old female admitted to the medical surgical floor complaining of abdominal pain on and off for 4 months. Her complaints were constipation, bloating, abdominal pain and indigestion. Her CT scan diagnosed an abdominal mass. Susan’s past medical history includes COPD, Diabetes type 1, and vascular issues. Her medications include the following: Prednisone 10 mg daily Insulin glargine (lantus) 20 units at bedtime ASA 81 mg daily. Her assessment includes the following: Objective: Height :...
A 55-year-old male client is admitted to the nursing unit with complaints of abdominal pain that is sharp and burning. The client gives a history of experiencing bloating and gas after eating and heartburn during the night. The client had a colonoscopy done 5 years ago that revealed six polyps, which were removed, biopsied, and found to be negative for cancerous cells. Upon interviewing the client, the nurse notes that the abdominal pain increases when the client eats fried and...
medical surgical nursing D. Keeping the client on the right side 6. A client has a colonoscopy. While recovering the nurse assess the client's abdomen. Which sign indicates a potential complication of the colonoscopy? A. Loose stools B. Mild cramping C. Nausea and vomiting D. Rebound tenderness 7. A nurse collects a urine sample from a client and notes that the urine appears somewhat red. Which action should the nurse take next? A. Ask the client how long he or...
1. Upon assessing a client with a arteriovenous fistula, the nurse be able to palpate or muscular a (n)? a. pulsation and brunt b. S1 and S2 c. bowel sounds d. radial and apical pulse 2. A catheter that is inserted into the urinary bladder from the abdominal entry point above the symphysis pubis is which catheter? a. Lock pouch catheter b. Ileostomy catheter c. Suprapublic catheter d. Ureterostomy catheter 3. A client has a newly formed Ileostomy. Upon discharge,...