In caring for the postoperative patient on the clinical unit after transfer from the
PACU, which care can the nurse delegate to the unlicensed assistive personnel
(UAP)?
a. Monitor the patient's pain.
b. Do the admission vital signs.
c. Assist the patient to take deep breaths and cough.
d. Change the dressing when there is excess drainage.
Give this one a try later!
c. Assist the patient to take deep breaths and cough.
The UAP can encourage and assist the patient to do deep breathing and
coughing exercises and report complaints of pain to the nurse caring for
the patient. The RN should do the admission vital signs for the patient
transferring to the clinical unit from the PACU. The LPN or RN will monitor
and treat the patient's pain and change the dressings.
, The nurse is caring for a Native American patient 2 days after a thoracotomy for tumor
resection. What would be the most appropriate action if the patient does not report
any pain?
a. Contact the health care provider.
b. Identify possible reasons for denial of pain.
c. Administer the prescribed pain medication.
d. Assess the renal and liver function test results.
Give this one a try later!
b. Identify possible reasons for denial of pain.
Encourage older adults to report pain, especially those who are reluctant
to discuss pain or deny pain when it is likely present, such as after surgery.
Older patients may be hesitant to request pain medication, believe pain is
an inevitable consequence of surgery, and may not understand how to use
patient-controlled machines. Some cultures discourage the expression of
pain. The nurse should encourage the use of analgesics, explaining to the
patient that untreated pain has a negative effect on recovery. Assessment
of pain and administration of medications are within the scope of practice
of a nurse. An older patient may have decreased renal and liver function
that may lead to drug toxicity. However, this would not be a reason for
denial of pain. Administration of pain medication must be based on the
patient assessment.
The nurse is positioning a patient after a surgical procedure. What is the best position
unless contraindicated, for this patient to be placed in to prevent respiratory
complications?
a. Supine
b. Lateral
c. Semi-Fowler's
d. High-Fowler's
Give this one a try later!
PACU, which care can the nurse delegate to the unlicensed assistive personnel
(UAP)?
a. Monitor the patient's pain.
b. Do the admission vital signs.
c. Assist the patient to take deep breaths and cough.
d. Change the dressing when there is excess drainage.
Give this one a try later!
c. Assist the patient to take deep breaths and cough.
The UAP can encourage and assist the patient to do deep breathing and
coughing exercises and report complaints of pain to the nurse caring for
the patient. The RN should do the admission vital signs for the patient
transferring to the clinical unit from the PACU. The LPN or RN will monitor
and treat the patient's pain and change the dressings.
, The nurse is caring for a Native American patient 2 days after a thoracotomy for tumor
resection. What would be the most appropriate action if the patient does not report
any pain?
a. Contact the health care provider.
b. Identify possible reasons for denial of pain.
c. Administer the prescribed pain medication.
d. Assess the renal and liver function test results.
Give this one a try later!
b. Identify possible reasons for denial of pain.
Encourage older adults to report pain, especially those who are reluctant
to discuss pain or deny pain when it is likely present, such as after surgery.
Older patients may be hesitant to request pain medication, believe pain is
an inevitable consequence of surgery, and may not understand how to use
patient-controlled machines. Some cultures discourage the expression of
pain. The nurse should encourage the use of analgesics, explaining to the
patient that untreated pain has a negative effect on recovery. Assessment
of pain and administration of medications are within the scope of practice
of a nurse. An older patient may have decreased renal and liver function
that may lead to drug toxicity. However, this would not be a reason for
denial of pain. Administration of pain medication must be based on the
patient assessment.
The nurse is positioning a patient after a surgical procedure. What is the best position
unless contraindicated, for this patient to be placed in to prevent respiratory
complications?
a. Supine
b. Lateral
c. Semi-Fowler's
d. High-Fowler's
Give this one a try later!
