A client with diabetes mellitus is admitted to the surgical unit after a vaginal hysterectomy. The client received 6 units of regular insulin subcutaneously and metoprolol 50 mg by mouth in the post-anesthesia care unit. Which statement by the unlicensed assistive personnel would require immediate action by the nurse?

Question

Quizplus · Accepted Answer

The nurse should take immediate action when a client recovering from a vaginal hysterectomy saturates more than one perineal pad in an hour. The nurse should further assess the client and report these findings and excessive vaginal bleeding to the health care provider (HCP). (Option B) The client should be encouraged to perform leg exercises while in bed to promote circulation and prevent deep vein thrombosis (DVT). (Option C) The client's voiding of 500 mL of straw-colored urine is a normal finding. (Option D) The client received metoprolol, a beta-adrenergic blocker, which slows the heart rate. If the heart rate is below 60 (or prescribed rate) prior to medication administration, the nurse should withhold further metoprolol and contact the HCP. The vital signs do not require immediate action by the nurse. Educational objective: A client recovering from a vaginal hysterectomy should be monitored for excessive vaginal bleeding, urinary retention, backache, decreased urinary output, and the development of signs and symptoms of complications such as DVT.

A Client with Diabetes Mellitus Is Admitted to the Surgical