Asked by Juanita Neloms on Apr 27, 2024
Verified
Mrs.Reddy,78 years old,had an abdominal hysterectomy 2 days ago.She has a history of COPD.Which of the following assessment findings would prompt further action by the nurse?
A) Oxygen saturation of 92%
B) Every 4 hour requests for pain medication
C) Urine output < 30 mL per hour
D) Redness and swelling at the wound edges
Chronic Obstructive Pulmonary Disease (COPD)
A group of lung diseases that block airflow and make it difficult to breathe, including conditions like emphysema and chronic bronchitis.
Oxygen Saturation
A measure of the amount of oxygen carried by hemoglobin in the blood, expressed as a percentage of the maximum amount the blood can carry.
Urine Output
Urine Output refers to the amount of urine excreted by the body over a given time period, an important indicator of kidney function and hydration status.
- Execute initial actions to address post-operative issues, including atelectasis.
Verified Answer
RP
Regan ParrottMay 02, 2024
Final Answer :
C
Explanation :
A urine output less than 30 mL per hour could indicate decreased renal perfusion, which can be a complication of surgery and anesthesia in elderly patients with comorbidities such as COPD. This finding requires further assessment and intervention. The oxygen saturation of 92% may be acceptable in patients with COPD but should be monitored closely. Pain medication every 4 hours and redness/swelling at the wound edges are common postoperative findings that can be managed with appropriate interventions.
Learning Objectives
- Execute initial actions to address post-operative issues, including atelectasis.