A nurse is monitoring a patient during the postoperative period following a surgical procedure. Which actions should be included in the plan of care? (Select all that apply.)

Assess and document patient's level of pain.

Administer contrast material.

Administer intravenous fluids as ordered.

Administer antineoplastic agents as ordered.

Administer pain medication as ordered.

Answer and Explanation

Correct Answer : A,C,E

A. Assess and document patient's level of pain: Monitoring and documenting pain is essential for effective pain management and patient comfort.

B. Administer contrast material: Administering contrast material is not typically required in the immediate postoperative period unless specifically ordered for diagnostic imaging.

C. Administer intravenous fluids as ordered: IV fluids are often needed postoperatively to maintain hydration and support recovery.

D. Administer antineoplastic agents as ordered: Antineoplastic agents are used for cancer treatment and are not a standard part of postoperative care unless the patient is undergoing concurrent cancer therapy.

E. Administer pain medication as ordered: Administering pain medication as ordered is crucial for managing postoperative pain and promoting recovery.

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Correct Answer is D

Explanation

A. Contact the pharmacist to verify the order: While verifying orders is important, for a STAT order, the priority is to administer the medication immediately. Verification can be done simultaneously or afterward if needed.

B. Wait until the information is updated in the patient's medication profile: Waiting to update the profile could delay crucial treatment. For a STAT order, immediate administration takes precedence.

C. Schedule the medication to be given at noon: Scheduling is not appropriate for a STAT order, which requires immediate administration due to its urgency.

D. Administer the medication now: This is the correct answer. STAT orders are meant to be administered as quickly as possible to address critical conditions.

A. Ask if the co-worker needs help with child care. B. Encourage the co-worker to switch to herbal remedies. C. Refer the co-worker to the employee assistance program (EAP). D. Suggest the co-worker try to get a daytime position.

Correct Answer is C

Explanation

A. Ask if the co-worker needs help with child care. While offering practical help like child care might seem supportive, it doesn’t directly address the underlying issue of the co-worker’s struggle with the night shift.

B. Encourage the co-worker to switch to herbal remedies. Suggesting herbal remedies is not appropriate, as it doesn't address the root cause of the co-worker's difficulties. Herbal remedies are also not a proven or necessarily safe solution for stress or shift work issues.

C. Refer the co-worker to the employee assistance program (EAP). This is the most appropriate action. The EAP is designed to help employees deal with personal problems, including work-related stress, and can provide professional counseling and support services.

D. Suggest the co-worker try to get a daytime position. While shifting to a daytime position might be a long-term solution, it is not an immediate action. The EAP can help address the stress and explore options, including a potential shift change.

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A nurse is monitoring a patient during the postoperative period following a surgical procedure. Which actions should be included in the plan of care? (Select all that apply.)

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