Check Your Understanding Questions
1
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Explain the process of giving an ISBAR to report the status of a patient during transitions of care.
2
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Depending on the patient’s needs, nurses may also need to consult with the social worker to order durable medical equipment (DME). What are some examples of DME?
3
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Education is an integral component of nursing care for PONV management. What should the nurse include in the education for a patient with PONV?
Mr. Thompson, a fifty-four-year-old male, has been admitted to PACU following a laparoscopic cholecystectomy. He is currently awake and alert but appears restless and uncomfortable. His vital signs are: blood pressure 135/85 mmHg; heart rate 90 bpm; respiratory rate 18 breaths per minute; and oxygen saturation 97 percent on room air. Mr. Thompson states, “I’m in quite a bit of pain, about 7 out of 10.” He is grimacing, holding his abdomen, and shifting frequently in bed. The provider has ordered postoperative pain medication as needed.
4
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Using the preceding data, how would you assess the patient’s postoperative pain?
5
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After analyzing the given cues, how would you manage the patient’s postoperative pain?
6
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The nurse notices the patient’s pain is preventing him from completing the postoperative deep breathing exercises, which could impact his healing. What should the nurse do?
7
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Explain the process of receiving a transfer from the PACU.
8
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Describe two concerning findings of a postoperative assessment.