A nurse is caring for a client who is 6 hr postoperative following a bowel resection. Which of the following findings is the priority for the nurse to report?
The client arouses easily but quickly falls back asleep.
There is 20 mL of dark red drainage from the wound drainage device over the past 4 hr.
There is 60 mL of dark yellow urine from the indwelling urinary catheter over the past 4 hr.
The client reports a pain level of 6 on a scale from 0 to 10 at the incision site.
The Correct Answer is A
A. The client arouses easily but quickly falls back asleep. This could indicate a potential complication, such as a postoperative haemorrhage, hypovolemia which can lead to decreased perfusion and oxygenation.
B. 20 mL of dark red drainage over 4 hours: This is expected postoperative output.
C. 60 mL of dark yellow urine over 4 hours: This is a low output but not immediately critical compared to potential hypoxia.
D. Pain level of 6/10 at the incision site: Pain is expected and manageable with interventions, making it less critical.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The client arouses easily but quickly falls back asleep. This could indicate a potential complication, such as a postoperative haemorrhage, hypovolemia which can lead to decreased perfusion and oxygenation.
B. 20 mL of dark red drainage over 4 hours: This is expected postoperative output.
C. 60 mL of dark yellow urine over 4 hours: This is a low output but not immediately critical compared to potential hypoxia.
D. Pain level of 6/10 at the incision site: Pain is expected and manageable with interventions, making it less critical.
Correct Answer is ["119"]
Explanation
Convert weight to kg:
175lb÷2.2=79.54kg
Multiply weight by dosage:
1.5mg/kg×79.54=119.31mg
Round to the nearest whole number: 119 mg
Correct answer: 119mg
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