The Nurse Is Assessing a Patient Who Has Just Arrived

question 22

Multiple Choice

The nurse is assessing a patient who has just arrived in the postanesthesia recovery area (PACU) after a blepharoplasty. Which of these assessment data will require the most immediate action by the nurse?

• A) The patient complains of incision discomfort at a level 5 of a 10-point scale.
• B) The cardiac monitor shows a heart rate of 110 beats/minute.
• C) The patient is unable to detect when the eyelids are touched.
• D) The skin around the eye incisions is pale and cool to palpation.

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Definitions:

Functional Specialty

An area within a profession or field where individuals possess specific skills, knowledge, and expertise, distinguishing them from others within the same broad discipline.

Statistical Principles

The fundamental concepts that underpin the logic, methodology, and validity of quantitative research and data analysis, including probability, variability, inference, and modeling.

Decision-making Process

A series of steps or stages that involve identifying a problem, gathering information, evaluating alternatives, and making choices to reach a conclusion.

Daniel Kahneman

A renowned psychologist and economist, known for his work on the psychology of judgment and decision-making, as well as behavioral economics.