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A nurse is caring for four postoperative clients. The nurse can delegate obtaining vital signs to an assistive personnel (AP) for which of the following clients?

A.

A client who is 3 days postoperative following a craniotomy

B.

A client who is 3 days postoperative following gastric bypass surgery

C.

A client who is 2 hr postoperative following an abdominal hysterectomy

D.

A client who is 1 hr postoperative following a thyroidectomy

Answer and Explanation

The Correct Answer is B

Rationale:

 

A. A client who is 3 days postoperative following a craniotomy requires careful monitoring due to potential complications from brain surgery, so vital signs should be taken by a nurse.

 

B. A client who is 3 days postoperative following gastric bypass surgery is stable enough for an AP to obtain vital signs, as the risk of immediate postoperative complications is lower compared to more recent surgeries.

 

C. A client who is 2 hr postoperative following an abdominal hysterectomy requires close monitoring due to the recent surgery, so vital signs should be obtained by a nurse.

 

D. A client who is 1 hr postoperative following a thyroidectomy requires vigilant monitoring for potential complications from recent surgery, which should be done by a nurse.


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View Related questions

Correct Answer is A

Explanation

Rationale:

A. Check the client's medical record for the provider's prescription is the appropriate action to confirm whether the enema was indeed ordered and to ensure that the client’s concerns are addressed.

B. Inform the charge nurse that the client refused the enema might be premature without first verifying the order and addressing the client's concerns.

C. Explain to the client that the provider prescribed the procedure is not appropriate if you have not confirmed the order. It may be premature if the order is not documented.

D. Assure the client that enemas are commonly prescribed for constipation does not address the client’s specific concern about whether the enema was actually ordered.

Correct Answer is A

Explanation

Rationale:

A. Discovery phase is when depositions are typically taken, as this phase involves gathering evidence and information from parties involved.

B. Decision phase occurs after the trial to determine the verdict.

C. Trial phase involves presenting evidence and arguments, but depositions occur earlier during discovery.

D. Complaint phase involves filing the lawsuit and does not include depositions.

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