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A nurse is preparing to provide care to a client who is postoperative following an abdominal hysterectomy 24 hr ago. Which of the following scheduled tasks should the nurse perform first?

A.

Discontinue the client's PCA.

B.

Measure the client's vital signs.

C.

Remove the client's indwelling urinary catheter.

D.

Change the client's abdominal dressing

Answer and Explanation

The Correct Answer is B

A. Discontinue the client's PCA: 

The discontinuation of the patient-controlled analgesia (PCA) may be necessary, but assessing the client's vital signs is a priority to ensure the client's overall stability and response to the surgery.

B. Measure the client's vital signs: 

This is the correct answer. Assessing vital signs is a priority postoperatively to monitor the client's physiological status, detect any signs of complications, and guide further interventions.

C. Remove the client's indwelling urinary catheter: 

Removing the urinary catheter may be part of the postoperative care plan, but it is not the immediate priority. Vital sign assessment is crucial for overall patient monitoring.

D. Change the client's abdominal dressing: 

Changing the abdominal dressing is an important aspect of postoperative care, but assessing vital signs takes precedence to identify any signs of distress or instability.


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Related Questions

Correct Answer is ["0.5"]

Explanation

To calculate the volume (mL) that the nurse should administer, you can use the following formula:

Volume (mL)=Dose (g)/Concentration (g/mL)

In this case:

  • Volume=0.175 g/375 mg/mL
  • First, convert the dose to grams:
  • 0.175g=175mg

Now calculate the volume:

  • Volume = 175mg/375 mg/mL
  • Volume=0.4667mL

Rounded to the nearest tenth, the nurse should administer approximately 0.5 mL of ampicillin/sulbactam for the 0.175 g IM dose.

Correct Answer is ["2.1"]

Explanation

To calculate the total daily dose of tobramycin, we use the formula:

  • Total Daily Dose (mg) = Dose (mg/kg/day) × Weight (kg)
  • Total Daily Dose (mg)=Dose (mg/kg/day)×Weight (kg)

In this case:

  • Total Daily Dose=3 mg/kg/day × 85 kg
  • Total Daily Dose=255mg/day

Since the total daily dose is divided into three doses, the nurse should administer:

  • Dose per Administration =Total Daily Dose/Number of Doses per Day
  • Dose per Administration = 255 mg/3
  • Dose per Administration≈85mg

Now, to calculate the volume (mL) to administer, we use the concentration of the available tobramycin solution:

  • Volume (mL)=Dose per Administration (mg)/Concentration (mg/mL)

In this case:

  • Volume=85mg/40mg/mL
  • Volume≈2.1mL

Therefore, the nurse should administer approximately 2.1 mL of tobramycin per dose, rounded to the nearest tenth.

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