Pn Adult Medical Surgical Online Practice 2023 B Study Guide Graded A+

Click to highlight the findings the nurse should report to the charge nurse immediately. To deselect a finding, click on the finding again. {Ans: • Perineal pad is saturated with blood, and large clots are present is correct. The presence of vaginal bleeding and blood clots is a manifestation of vaginal hemorrhage. Therefore, the nurse should report this finding to the charge nurse. • Blood pressure 98/56 mm Hg is correct. Decreased blood pressure is a manifestation of vaginal hemorrhage. Therefore, the nurse should report this finding to the charge nurse. • Heart rate 102/min is correct, Tachycardia is a manifestation of vaginal hemorrhage. Therefore, the nurse should report this finding to the charge nurse.}A nurse is contributing to the plan of care for a client who is postoperative following a total knee arthroplasty. The client is using a continuous passive motion (CPM) machine. Which of the following interventions should the nurse recommend for the plan of care? {Ans: Keep a sheepskin pad between the client's extremity and the CPM machine. R: The nurse should plan to keep a sheepskin pad between the dient's extremity and the cOM madhune to protect the client's skin. The nurse should check