Question

pre Questions You are caring for a postoperative patient whose hematocrit and hemoglobin (H&H) are low from an elevated surgical blood loss. What can you do to help determine the impact of the dropping H&H? A Assess capillary refill from lower extremities. B. Monitor urinary output. C. Assess postural blood pressure readings. D. Assess gait strength. You are caring for a postoperative patient who is complaining of pain in her incisional area. You ask the patient to rate her pain on a scale of 0 to 10. What is the rationale for rating the patient's pain level? E To determine if your interventions are effective F. To decide if her subjective data are accurate To ascertain the effective use of therapeutic communication To determine her behavioral pain experience H. You are caring for a postoperative patient following abdominal surgery. You know that the surgeon has handled the intestines during surgery, and as a result you anticipate the possibility of what possible side effect? Increased surgical drainage Nausea and vomiting кг Increased peristalsis Urinary tract infection L You are caring for a postoperative patient who has just returned from PACU after a hemicolectomy and is now requesting fluids to drink. What is your best response? M. "We need to start you slowly. Try a few sips and see if you can tolerate it." N "You won't be able to drink anything until your bowel sounds return." O. "We need to keep the head of your bed flat for 6 hours, and then you'll be able to eat and drink. P "You won't be able to drink until you have passed flatus."

Answer 1

1.Capillary refill is used to assess the circulation. Urine output is used to measure the amount of fluid loss or fluid volume of the body.Gait assessment is associated to neurological evaluation. When a patient is having a drop in hemoglobin and hematocrit level, they generally have dizziness upon standing up from lying down position ,this is because of the drop of systolic blood pressure by approximately 20mmHg.So a postural blood pressure reading can be helpful to assess the drop of hemoglobin and hematocrit.

Ans:C.Assess postural blood pressure reading

2.Pain scale is used to assess the intensity of the pain in a cognitive stable patient in numerical form and as images in mild cognitive impaired patients.Hence it helps to identify the perception of pain on behavioral aspect to an extent.The accuracy of subjective data can be measured.The therapeutic communication or intervention cannot be assessed for its effectiveness

Ans:to decide if her subjective data are accurate

3.The possible side effects after an abdominal surgery are nausea and vomiting, surgical site infection, bleeding. Peristaltic movement is absent in abdominal surgery until the effect of anesthesia settles down

And:.nausea and vomiting

4.After a surgery, water or food intake can be started only after peristaltic movement starts.This can be best assessed by bowel sounds.Flatus is a sign of peristaltic movement

Ans:N.you won't be able to drink anything until your bowel sounds return