Exam 20: Nursing Management: Postoperative Care

The nurse notes that the oxygen saturation is 88% in an unconscious patient who was transferred to the PACU 10 minutes previously. Which action should the nurse take first?

The nurse evaluates that the interventions for the nursing diagnosis of ineffective airway clearance in a postoperative patient have been successful when the

A patient's blood pressure in the PACU has dropped from an admission blood pressure of 138/84 to 110/78 with a pulse change of 68 to 84. The first action indicated by the nurse is to

The nasogastric (NG) tube is removed on the second postoperative day for a patient who had abdominal surgery. A clear liquid diet is ordered. Four hours later, the patient complains of abdominal distention and sharp, cramping gas pains. The most appropriate nursing action is to