A 76-year-old patient had surgery for an abdominal hernia. The PACU nurse assesses that the patient is confused and is trying to climb out of the bed and pull at the cardiac monitor lines. At this time, what interventions by the nurse are appropriate? Select all that apply. a) Ambulate the patient. b) Administer opioid pain medication per orders. c) Reorient the patient. d) Assess for urine output. e) Assess for hypoxia. f) Apply wrist restraints.

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A 76-year-old patient had surgery for an abdominal hernia. The PACU nurse assesses that the patient is confused and is trying to climb out of the bed and pull at the cardiac monitor lines. At this time, what interventions by the nurse are appropriate? Select all that apply.

a) Ambulate the patient.
b) Administer opioid pain medication per orders.
c) Reorient the patient.
d) Assess for urine output.
e) Assess for hypoxia.
f) Apply wrist restraints.

 
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A patient is undergoing surgery with a brachial plexus block to the right wrist. The patient voices concerns about anesthesia awareness. What is the best response by the nurse? a) “Because of the type of anesthesia used, you may be aware of what is going on around you.” b) “Anesthesia awareness is not a concern with type of surgery you are having.” c) “Advances in medicines used decrease the chance of anesthesia awareness. What are your major concerns?” d) “The entire surgical team will monitor for anesthesia awareness and treat it appropriately.”

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A patient is undergoing surgery with a brachial plexus block to the right wrist. The patient voices concerns about anesthesia awareness. What is the best response by the nurse?

a) “Because of the type of anesthesia used, you may be aware of what is going on around you.”
b) “Anesthesia awareness is not a concern with type of surgery you are having.”
c) “Advances in medicines used decrease the chance of anesthesia awareness. What are your major concerns?”
d) “The entire surgical team will monitor for anesthesia awareness and treat it appropriately.”

 
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All of the following patients are at risk for developing serious fluid and electrolyte imbalances during and after surgery except: 1. Patient F, who is 1 year old and having a cleft palate repair 2. Patient H, who is 79 years old and has a history of congestive heart failure 3. Patient G, who is 55 years old and has a history of chronic respiratory disease 4. Patient E, who is 81 years old and having emergency surgery for a bowel obstruction after 4 days of vomiting and diarrhea

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All of the following patients are at risk for
developing serious fluid and electrolyte imbalances
during and after surgery except:
1. Patient F, who is 1 year old and having a cleft
palate repair
2. Patient H, who is 79 years old and has a history
of congestive heart failure
3. Patient G, who is 55 years old and has a history
of chronic respiratory disease
4. Patient E, who is 81 years old and having
emergency surgery for a bowel obstruction after
4 days of vomiting and diarrhea

 
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A student nurse who is employed as a nursing assistant may perform any functions that: 1. Have been learned in school 2. Are expected of a nurse at that level 3. Are identified in the position’s job description 4. Require technical rather than professional skill

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A student nurse who is employed as a nursing
assistant may perform any functions that:

1. Have been learned in school
2. Are expected of a nurse at that level
3. Are identified in the position’s job description
4. Require technical rather than professional skill

 
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