A patient,who collapsed while sitting on the toilet,admitted that she had been straining while seated on the toilet.The anesthesia provider and perianesthesia nurse surmised that the patient experienced a vagal response,which led to bradycardia and syncope (fainting).The patient's heart rate and blood pressure are less than 20% of her admission parameters; she is awake and lucid and is able to appropriately follow commands.What phase of the nursing process will impact the patient's next step and what can she expect?

Question

Quizplus · Accepted Answer

Based on the assessment and nursing diagnosis,the nurse sets measurable and achievable short- and long-range goals.The outcome set for this patient is that she will maintain adequate cardiac output on discharge from the PACU as evidenced by blood pressure within preoperative range,her skin will be warm and dry,she will be oriented to person and place,and her pulse will be strong and regular.The nurse will monitor vital signs and physiologic parameters,level of consciousness,surgical site,intake and output; administer fluid and medication if indicated to improve depressed myocardial contractility,increase cardiac output,and promote diuresis.The patient will be monitored through phase I and phase II criteria until discharge.

A Patient,who Collapsed While Sitting on the Toilet,admitted That She