Virginia admitted that she had been straining while seated on the toilet and the anesthesia provider and perianesthesia nurse surmised that Virginia experienced a vagal response,which led to bradycardia and syncope (fainting).While Virginia feels weak and tired from her experience,she is eager to go home and pleads to be discharged.Her 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.Her incision and dressings are intact and her abdomen is soft.She claims that her pain is slight and tolerable.The nurse must now determine the next step in Virginia's recovery based on this recent evaluation.What phase of the nursing process will impact Virginia's next step and what can she expect?

Question

Quizplus · Accepted Answer

Virginia's nursing outcome is:She will maintain adequate cardiac output on discharge from the PACU as evidenced by blood pressure within preoperative range,skin warm and dry,oriented to person and place,and pulse 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.Virginia will be monitored through phase I and phase II criteria until discharge.

Virginia Admitted That She Had Been Straining While Seated on the Toilet