Fundamentals HESI License Exam With Complete Verified Solutions 2024

Post surgery, monitor for thrombophlebitis especially in clients who were in the ______ position during surgery - Answer lithotomy Post surgery, maintain NPO status until - Answer gag reflex and peristalsis has returned If the client does not have a urinary catheter, the client is expected to void within ____________ - Answer 6-8 H postoperatively depending on the type of anesthesia delivered; ensure that the amount is at least 200 mL Assessment of postoperative pneumonia - Answer Dyspnea, increased RR, crackles over involved lung area, elevated temp, productive cough and chest pain If the client had spinal anesthesia.... - Answer do not elevate the legs any higher than placing them on the pillow; other wise, the diaphragm muscles needed for effective breathing could be impaired Prevention of thrombophlebitis - Answer 1. Elevate extremity 30 degrees without allowing any pressure on the popliteal area 2. Encourage the use of anti embolism stockings as prescribed; remove stockings twice a dat to wash and inspect the legs 3. Use a sequential compression device 4. Perform passive range of motion exercises every 2 H if the client is confined to bed rest 5. Encourage early ambulation as prescribed 6. Do not allow the client to dangle their legs 8. Instruct the client not to sit in 1 position for an extended period of time 9. Administer anticoagulants such as heparin, sodium, or enoxaparin, as prescribed