NCLEX-PN

●​ Core body temperature is monitored to detect hyperthermia or hypothermia, especially in clients who received general anesthesia. ●​ Measures to maintain normothermia , such as warming blankets, may be implemented. 9. Surgical Site Assessment ●​ For clients who had surgery, the nurse assesses the surgical site for bleeding, hematoma formation, infection, or other complications. ●​ Dressings are checked and documented for any signs of drainage . 10. Documentation ●​ Thorough and accurate documentation of all assessments, interventions , and the client's responses is essential for continuity of care and communication with the healthcare team. 11. Pain Management ●​ The nurse administers pain medications as prescribed and evaluates their effectiveness in controlling the client's pain. ●​ Non-pharmacological pain management techniques, such as positioning and relaxation techniques, may also be employed. 12. Discharge Planning: ●​ When the client meets the criteria for safe discharge from the PACU, the nurse prepares them for transfer to a regular nursing unit or for discharge home. ●​ The client and their family are provided with postoperative instructions, including wound care, activity restrictions, and medication management . 13. Continuous Monitoring: ●​ Throughout the recovery period, the nurse continues to monitor the client's vital signs, oxygen saturation, and overall condition. ●​ Any signs of complications, such as respiratory distress, allergic reactions, or cardiac events, are addressed promptly. 14. Communication: ●​ Effective communication with the anesthesia provider and surgical team is essential to sharing information about the client's recovery and any concerns or issues that arise. 15. Education

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