Which client information is most important for the practical nurse (PN) to consider when providing instructions to the unlicensed assistive personnel (UAP) about providing morning care to a postoperative client?
Blood pressure of 144/84.
Oxygen saturation measurement of 95 to 96%.
Oriented to person only.
Urinary output of 50 mL/hour.
The Correct Answer is D
The correct answer is = D. Urinary output of 50 mL/hour. Choice A rationale:
A blood pressure of 144/84 is elevated but not directly related to providing morning care to a postoperative client. It may be important to monitor but is not the most critical information for the unlicensed assistive personnel (UAP) to consider during morning care.
Choice B rationale:
Oxygen saturation measurement of 95 to 96% is within the normal range (usually 95% to 100%) and does not have a direct impact on providing morning care in this postoperative scenario. While monitoring oxygen saturation is important in other contexts, it is not the most vital consideration for the UAP during morning care.
Choice C rationale:
Being oriented to person only may be relevant for the client's overall well-being, but it is not directly related to providing morning care, making it less important than the urinary output.
Choice D rationale:
Urinary output of 50 mL/hour is crucial information for the UAP to consider because it could indicate the client's hydration status and renal function, which are essential factors in postoperative care.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
This is the finding that the PN should instruct the postpartum client to report to the charge nurse because it may indicate an infection, such as endometritis, mastitis, or urinary tract infection, that requires prompt treatment.
The PN should also instruct the client to monitor for other signs of infection, such as foul-smelling lochia, redness or tenderness of the breasts, or dysuria.
Correct Answer is B
Explanation
Tell the client that the PN will verify that the dispensed medication is the valid prescription. Choice A rationale:
Explaining that the healthcare provider probably prescribed a different medication while the client is hospitalized (Choice A) may create confusion or concern for the client. It is essential to reassure the client and take appropriate action to address the discrepancy in the appearance of the medication.
Choice C rationale:
Explaining that the pharmacy often substitutes generic equivalents for more expensive brands (Choice C) is not applicable in this situation since the client is expressing concern about the appearance of the medication prescribed by the healthcare provider, not a substitution by the pharmacy.
Choice D rationale:
Telling the client that he is probably confused since being hospitalized tends to disorient clients (Choice D) is dismissive of the client's concerns. It is crucial to acknowledge the client's observation and address the issue professionally.
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