Practice Quiz

NCLEX-RN

Category - Physiological

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A nurse receives a postoperative client from the postanesthesia unit. The nurse understands that postoperative assessment or monitoring must be done:
  1. Every 15 minutes for the first hour, every 30 minutes for 2 hours, every hour for 4 hours, and then every 4 hours as needed.
  2. Every 15 minutes for the first hour, every 30 minutes for 2 hours, every 2 hours for 4 hours, and then every 4 hours as needed.
  3. Every 30 minutes for the first hour, every hour for 2 hours, and every 2 hours for 4 hours.
  4. Every 30 minutes for the first hour, every hour for 2 hours, and then every 2 hours indefinitely
Explanation
Answer: B - The common time frames for postoperative monitoring are as follows: every 15 minutes for the first hour, every 30 minutes for 2 hours, every 2 hours for 4 hours, and then every 4 hours as needed. Option A has a close time frame and the assessments are too frequent. The time frames given in options C and D are infrequent; therefore, they do not provide adequate monitoring.
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