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    Hesi rn exit proctored examQuestion 125
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    Hesi rn exit proctored exam
    Select All That Apply

    Patient Data Exhibits The client has recovered from surgery and is ready to be discharged. Highlight findings that indicate the client is stable and ready to be discharged. The client returned from appendectomy surgery last night at approximately 2100. The client was admitted for observation due to a delay in waking from anesthesia. The client is currently resting in bed. The incision dressing is dry and intact, and no bleeding is noted. The client tolerated clear liquids post recovery and has advanced to a soft diet. The client ambulated around the unit this morning and tolerated activity well. Bowel sounds are present in all 4 quadrants, and per client report, she has passed flatus. Pain is tolerated with analgesia PO.

    Explanation & Rationale

    • Incision dressing is dry and intact, with no bleeding: Indicates proper wound healing and absence of complications such as infection or hemorrhage. A clean, dry surgical site is a key criterion for safe discharge. • Tolerated clear liquids and advanced to soft diet: Shows that the gastrointestinal system is functioning post-anesthesia and surgery. Tolerance of oral intake without nausea, vomiting, or abdominal discomfort is essential before discharge. • Ambulated around the unit and tolerated activity well: Demonstrates that the client has regained baseline mobility, which reduces risk of postoperative complications like atelectasis or DVT. Ability to mobilize is a standard requirement for safe discharge. • Bowel sounds present in all four quadrants; passing flatus: Confirms the return of peristalsis and bowel function, which is necessary before discharge after abdominal surgery. Passing gas is an expected milestone indicating GI recovery. • Pain controlled with oral analgesia: Suggests that the client’s pain is manageable without IV medication. Effective pain control at home using oral medications supports comfort and reduces the risk of readmission.

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