Which of the following actions should the nurse consider for the patient who has just been extubated at the end of the surgical procedure?
A)Monitoring urine output and potential blood loss.
B)Providing respiratory support through bag-mask ventilation.
C)Staying with the patient for safety if they awaken in a combative state.
D)Teaching the patient about postoperative wound care.

Question

Quizplus · Accepted Answer

The nurse should consider staying with the patient for safety if they awaken in a combative state. Following extubation and during the period when anesthesia is beginning to wear off, a patient may transition into an uncontrollable state. The nurse must stay with the patient to help keep them calm as they transition out of the surgical phase. Assisting the patient during this time can help to keep them safe if they are combative.

Which of the Following Actions Should the Nurse Consider for the Patient