ATI Perioperative, Fluid and Electrolyte ATI study questions, ATI Immune and Infections
Post open transverse coly 5 days ago, nurse recognizes the wound has eviscerated. After covering with sterile, saline-soaked dressing, which of following actions should nurse take first? Go to Nurses station to seek assistance, reinsert organs into abdominal cavity, place client in reverse trendelenburg, obtain V/S to assess for shock. - Obtain V/S to assess for shock When caring for postop patient with JP drain, which intervention should nurse use to ensure proper functioning of drain? Secure to clients bed sheet, clamp when ambulating, empty and compress drain as needed, keep drain higher than surgical incision - empty and compress as needed When completing initial PACU assessment of patient postop knew arthroplasty who received spinal anesthesia, which finding indicates need to notify provider? Client states bilateral numbness to lower extremities, spinal anesthesia is at T10 level, client rouses to tactile stimuli, patient reports c
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