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    Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph

    A charge nurse is teaching newly licensed nurses about postoperative procedures following abdominal surgery. Which of the following information should the charge nurse include?

    Explanation & Rationale

    Rationale: A. Urinary output less than 30 mL/hr indicates possible hypovolemia or renal impairment. The minimum acceptable output is 30 mL/hr, not 20 mL/hr. B. A palpable distended bladder suggests urinary retention, a postoperative complication, not an expected finding. The nurse should assess for bladder distention and notify the provider if present. C. Reporting bleeding that saturates the client’s dressing is correct because excessive bleeding can indicate hemorrhage, a potentially life-threatening postoperative complication requiring immediate provider notification. D. Maintaining a supine position for 24 hours can increase the risk for respiratory complications such as atelectasis and pneumonia. Postoperative clients should be encouraged to turn, cough, deep breathe, and ambulate early as tolerated.

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