A nurse is caring for a client who is 8 hours postoperative following abdominal surgery. Which of the following data should the nurse report to the provider?
Postoperative laboratory results are WBC are 8.000 (5.000-10,000)
The client urine output has been 50 mL since surgery.
Small amount of serosanguineous drainage noted on the abdominal dressing
The client's pain level has decreased since the administration of morphine.
The Correct Answer is B
A. Postoperative laboratory results are WBC are 8,000 (5,000–10,000):
Normal finding. No indication of infection; nothing to report here.
B. The client urine output has been 50 mL since surgery:
This is oliguria (<30 mL/hr), suggesting possible renal perfusion issues or fluid imbalance, and should be reported immediately.
C. Small amount of serosanguineous drainage noted on the abdominal dressing:
Expected finding in the early postoperative period; no need to notify the provider unless drainage increases or becomes purulent.
D. The client's pain level has decreased since the administration of morphine:
Positive outcome; indicates that pain is being effectively managed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. “Your inspiration should be longer than expiration during purse-lipped breathing.”
Expiration should be longer than inspiration to promote carbon dioxide elimination and prevent air trapping.
B. “You should inhale through your nose and exhale through your mouth during purse-lipped breathing.”
This technique helps control breathing, keep airways open longer, and improve oxygenation.
C. “You should cough forcefully during exhalation when you are purse-lipped breathing.”
Purse-lipped breathing is a gentle technique and does not involve forceful coughing.
D. “You should be flat on your back when you perform purse-lipped breathing.”
An upright or semi-Fowler’s position promotes better lung expansion; lying flat can impair ventilation in COPD.
Correct Answer is C
Explanation
A. Biofeedback:
Biofeedback involves using electronic monitoring to gain control over body functions (e.g., heart rate, muscle tension), not simply listening to music.
B. Guided Imagery:
Guided imagery involves mentally visualizing peaceful scenes or images, usually with a narrator guiding the process-not passive listening to music alone.
C. Distraction:
Music listening serves as a distraction, a nonpharmacologic method to divert attention away from pain.
D. Meditation:
Meditation typically involves focused breathing or mindfulness, not simply listening to music without intentional meditative practice.
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