Swift River 2.0: Julia Monroe Questions and Answers Latest Version Already Passed

Swift River 2.0: Julia Monroe Questions and Answers Latest Version Already Passed Julia Monroe is post-op and becomes increasingly lethargic. What is the nurse's priority? Assess her level of consciousness and check vital signs immediately. Julia reports pain at the surgical site despite medication an hour ago. What should the nurse do? Reassess her pain level and notify the provider if pain remains uncontrolled. Julia’s oxygen saturation drops to 89% while on room air. What should the nurse do next? Apply oxygen and reassess respiratory status. Julia is restless and picking at her gown. What might this behavior indicate? Possible hypoxia or delirium requiring assessment. Julia’s IV site is swollen, red, and painful. What should be done first? Discontinue the IV and start a new line in a different site. 2 Julia is not interested in eating and has had little intake today. What action is most appropriate? Encourage small, frequent meals and monitor intake closely. Julia's blood pressure drops to 88/56 and her pulse is 120. What should the nurse suspect? Possible hypovolemia or early signs of shock. Julia’s family is concerned she’s acting confused. What should the nurse do? Perform a full neurological assessment and compare to baseline. Julia complains of nausea after taking her pain medication. What should the nurse consider? Administer prescribed antiemetics and consider timing with food. Julia's surgical wound shows increasing redness and swelling. What is the nurse’s next step? Notify the provider and monitor for signs of infection. Julia is refusing to ambulate after surgery. What is the nurse’s best response? Explain the importance of ambulation in preventing complications and offer assistance. 3 Julia’s urinary output has decreased significantly in the last 8 hours. What is the nurse's priority? Assess for bladder distention and review intake/output trends. Julia starts coughing during oral medication administration. What should the nurse assess? Her ability to swallow safely and risk of aspiration. Julia reports tingling in her fingers and muscle cramps. What lab value should the nurse check? Calcium level, as signs point to possible hypocalcemia. Julia is on opioid medication and her respiratory rate is 8 breaths per minute. What should the nurse do? Stop the opioid and prepare to administer naloxone if needed. Julia's blood glucose is 48 mg/dL and she is drowsy. What is the nurse's immediate action? Administer fast-acting carbohydrates like juice or glucose gel. Julia is on a clear liquid diet and asks when she can eat solid food. What determines this decision? 4 Return of bowel sounds and passing flatus. Julia expresses fear about her recovery and becomes tearful. What is the best nursing intervention? Sit with her, listen actively, and offer emotional support. Julia’s heart rate becomes irregular on the monitor. What is the priority nursing action? Assess her pulse and obtain a 12-lead