Which client does the nurse assess first after receiving the morning report?

Question

Quizplus · Accepted Answer

Vomiting and dry heaving place increased mechanical stress on surgical wound edges and increase the risk for wound dehiscence and evisceration. Obese clients who have undergone extensive abdominal surgery are especially vulnerable. Therefore, the nurse should first assess the client who is nauseated and dry heaving and administer an antiemetic medication (Option C). (Option A) This client trying to leave against medical advice is the second priority. The nurse needs to assess this client for pain and determine when pain medication was administered last. If this situation cannot be resolved quickly, the nurse should notify the client's health care provider immediately to determine level of competency and inform the client of the risks of refusing treatment. (Option B) The nurse must follow-up 30 minutes after the morphine is administered, not immediately, to assess the effectiveness of the pain medication. (Option D) Providing discharge instructions to this client can wait without consequence. Educational objective: Postoperative nausea, vomiting, and dry heaving should be treated with antiemetic medication as soon as possible as it increases a client's risk for wound dehiscence and evisceration (medical emergency).

Which Client Does the Nurse Assess first After Receiving the Morning