ISPN&RN天天練-0429

ISPN&RN天天練-0429

0429-01

Urine output should be maintained at a minimum of 30 mL/hour for an adult. An output of less than 30 mL for 2 consecutive hours should be reported to the health care provider. A temperature higher than 37. 7 °C (100 °F) or lower than 36. 1 °C (97 °F) and a falling systolic blood pressure, lower than 90 mm Hg, are usually considered reportable immediately. The client’s preoperative or baseline blood pressure is used to make informed postoperative comparisons. Moderate or light serous drainage from the surgical site is considered normal.

學生甲的翻譯:

成人的尿量應至少維持在30毫升/小時。連續2小時少於30毫升的輸出應報告給衛生保健提供者。溫度高於37。7°C(100°F)或低於36°。1°C(97°F)和收縮壓低於90毫米汞柱,通常被認為是立即報告的。客戶的術前或基線血壓用於進行知情的術後比較。手術部位的中度或輕度漿液引流被認為是正常的。

The nurse has just reassessed the condition of a postoperative client who was admitted 1 hour ago to the surgical unit. The nurse plans to monitor which parameter most carefully during the next hour?

1. Urinary output of 20 mL/hour

2. Temperature of 37.6°C (99.6°F)

3. Blood pressure of 100/70 mm Hg

4. Serous drainage on the surgical dressing


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