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    Ati Med Surg Proctored Exam

    A nurse is caring for a client who is postoperative following ambulatory surgery requiring general anesthesia. Which of the following actions should the nurse take?

    Explanation & Rationale

    A. Offering oral fluids once the client is awake and has a gag reflex is appropriate to prevent dehydration and ensure the client can safely swallow. B. Discontinuing IV fluids immediately upon arrival to the PACU is inappropriate, as the client may still need fluid support until they are fully stable and able to tolerate oral intake. C. Checking vital signs only once every hour is too infrequent in the immediate postoperative phase. Vital signs should be monitored every 15 minutes initially. D. Maintaining a supine position is not ideal after general anesthesia due to the risk of airway obstruction. A lateral or semi-Fowler's position is safer to promote airway patency.

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