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    Ati Lpn Comprehensive Predictor 2023 Proctored Exam

    The nurse has reviewed the Nurses' Notes and Vital Signs from Day 2 at 0430 and Provider Prescriptions from Day 1 at 2345. Drag words from the choices below to fill in each blank in the following sentence. The nurse should postoperatively assist the RN todropdown anddropdown

    Explanation & Rationale

    Rationale for correct choices: • Assist with morphine 4 mg IV bolus: The client will likely experience postoperative pain following laparoscopic cholecystectomy. Assisting with the prescribed IV morphine helps manage pain effectively, improves comfort, and facilitates early mobilization and participation in postoperative care. • Encourage use of a spirometer every hr while awake: Postoperative clients are at risk for atelectasis and pulmonary complications due to anesthesia and immobility. Encouraging frequent spirometer use promotes lung expansion, maintains adequate oxygenation, and reduces the risk of respiratory complications. Rationale for incorrect choices: • Place the client on their right side while in bed: This position is not routinely required after laparoscopic cholecystectomy; supine or semi-Fowler positions are typically recommended to optimize comfort and monitor for postoperative complications. • Maintain the client on bed rest: Extended bed rest is not advised postoperatively. Early mobilization reduces the risk of venous thromboembolism, promotes bowel function, and accelerates recovery. • Discontinue IV fluids: IV fluids are needed postoperatively to maintain hydration and electrolyte balance, particularly since the client is on NPO status until gastrointestinal function returns. Discontinuing fluids prematurely could lead to hypovolemia.

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