Final Exam - Med Surg

A charge nurse is monitoring a newly licensed nurse who is caring for a postoperative client who is receiving morphine through a PCA pump. Which of the following actions by the newly licensed nurse requires intervention? a. Instructing the client to administer a PCA dose prior to a dressing change b. Providing increased fluids while the client is using the PCA pump c. Informing the client's partner that only the client should administer the PCA doses d. Maintaining the client on bed rest while the PCA pump is in use {Ans: D. Maintaining the client on bed rest while the PCA pump is in use--- Use of a PCA pump does not prevent ambulation following surgery. Early ambulation should be encouraged. The nurse should instruct the client to sit at the side of the bed prior to standing to reduce the risks of orthostatic hypotension and falls.}A nurse is providing teaching to a client who is scheduled for a sigmoid colon resection with colostomy. Which of the following statements by the client indicates a need for further teaching? a. "Because most of my colon is still intact and functioning, my stool will be formed." b. "My stoma will appear