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The Postoperative Recovery Room Nurse Determines That a Client in the Postoperative

Question 5

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The postoperative recovery room nurse determines that a client in the postoperative phase of care can be transitioned to Phase II of recovery.The client is able to take deep breaths and cough,is using oxygen to maintain a saturation of greater than 90%,is fully awake,has a systolic blood pressure that is 130 mmHg now but the preoperative systolic blood pressure was 100 mmHg,and is able to move all four extremities independently.Using the following scale,this client's Aldrete score is ________. The Aldrete score
Respiration
2 = Able to take deep breath and cough
1 = Dyspnea/shallow breathing
0 = Apnea

O2 Saturation
2 = Maintains > 92% on room air
1 = Needs O2 inhalation to maintain O2 saturation > 90%
0 = Saturation < 90% even with supplemental oxygen

Consciousness
2 = Fully awake
1 = Arousable on calling
0 = Not responding

Circulation
2 = BP+ 20 mmHg preop
1 = BP+ 20-50 mmHg preop
0 = BP+ 50 mmHg preop

Activity
2 = Able to move 4 extremities
1 = Able to move 2 extremities
0 = Able to move 0 extremities

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Explanation: The Aldrete system is des...

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