{"id":138697,"date":"2024-09-16T06:55:12","date_gmt":"2024-09-16T06:55:12","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=138697"},"modified":"2024-09-16T06:55:15","modified_gmt":"2024-09-16T06:55:15","slug":"the-nurse-is-continuing-to-care-for-the-adolescent","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/16\/the-nurse-is-continuing-to-care-for-the-adolescent\/","title":{"rendered":"The nurse is continuing to care for the adolescent"},"content":{"rendered":"\n<p>The nurse is continuing to care for the adolescent.<\/p>\n\n\n\n<p>Provider Prescriptions 1415:<\/p>\n\n\n\n<p>X-ray of right leg shows open fracture of the right proximal tibia<\/p>\n\n\n\n<p>Surgery consult<\/p>\n\n\n\n<p>Morphine 4 mg IV every 2 hr as needed for pain.<\/p>\n\n\n\n<p>The nurse is preparing the adolescent for the fasciotomy.<\/p>\n\n\n\n<p>Which of the following findings should the nurse report to the provider prior to surgery?<\/p>\n\n\n\n<p>A.<br>The adolescent&#8217;s parents have concerns regarding the surgery<\/p>\n\n\n\n<p>B.<br>The adolescent&#8217;s blood pressure is 131\/89 mm Hg<\/p>\n\n\n\n<p>C.<br>The adolescent reports severe pain<\/p>\n\n\n\n<p>D.<br>The adolescent has not voided in 4 hr<\/p>\n\n\n\n<p><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\"><strong>The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n<p><strong>D. The adolescent has not voided in 4 hr<\/strong><\/p>\n\n\n\n<p><strong>Explanation:<\/strong><\/p>\n\n\n\n<p>Prior to surgery, it&#8217;s crucial to assess and address any potential issues that might impact the patient&#8217;s safety and surgical outcome. Among the options provided:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A. The adolescent&#8217;s parents have concerns regarding the surgery:<\/strong> While important, parental concerns can be addressed through communication and do not directly affect the immediate surgical preparation or the patient&#8217;s physical condition.<\/li>\n\n\n\n<li><strong>B. The adolescent&#8217;s blood pressure is 131\/89 mm Hg:<\/strong> This blood pressure reading is within the range of elevated or high-normal blood pressure but is not immediately critical in the context of preparing for surgery, provided there are no other symptoms indicating hypertension or related complications.<\/li>\n\n\n\n<li><strong>C. The adolescent reports severe pain:<\/strong> While severe pain should be managed appropriately, it is not as urgent to report to the provider prior to surgery compared to other potentially critical issues. Pain management can be adjusted as needed, but the presence of severe pain is often expected in conditions like open fractures and can be managed with medications.<\/li>\n\n\n\n<li><strong>D. The adolescent has not voided in 4 hr:<\/strong> This is the most critical finding to report before surgery. An inability to void can indicate urinary retention or kidney issues, which can be exacerbated by anesthesia and surgical stress. It is important to address this issue to prevent complications such as urinary tract infections or further renal impairment. Ensuring that the bladder is adequately emptied before surgery reduces the risk of intraoperative and postoperative complications.<\/li>\n<\/ul>\n\n\n\n<p>In summary, the failure to void in 4 hours is a significant finding that should be reported to the provider immediately to ensure proper management and avoid potential complications during and after the surgery.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The nurse is continuing to care for the adolescent. Provider Prescriptions 1415: X-ray of right leg shows open fracture of the right proximal tibia Surgery consult Morphine 4 mg IV every 2 hr as needed for pain. The nurse is preparing the adolescent for the fasciotomy. Which of the following findings should the nurse report [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-138697","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/138697","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=138697"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/138697\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=138697"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=138697"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=138697"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}