QuestionJuly 20, 2025

When planning care for Rachael Heidebrink, the nurse places priority on which of the following? (Select all that apply.) Monitoring for bleeding Obtaining daily aPTT Monitoring for tachypnea Maintaining bedrest Assessing pain level Monitoring surgical site

When planning care for Rachael Heidebrink, the nurse places priority on which of the following? (Select all that apply.) Monitoring for bleeding Obtaining daily aPTT Monitoring for tachypnea Maintaining bedrest Assessing pain level Monitoring surgical site
When planning care for Rachael Heidebrink, the nurse places priority on which of the
following? (Select all that apply.)
Monitoring for bleeding
Obtaining daily aPTT
Monitoring for tachypnea
Maintaining bedrest
Assessing pain level
Monitoring surgical site

Solution
4.1(295 votes)

Answer

Monitoring for bleeding, Obtaining daily aPTT, Monitoring surgical site, Assessing pain level, Monitoring for tachypnea Explanation 1. Identify Critical Care Priorities Focus on monitoring for bleeding, obtaining daily aPTT, and monitoring surgical site as they are crucial for post-surgical care and anticoagulation management. 2. Consider Additional Monitoring Assess pain level to ensure comfort and detect complications. Monitor for tachypnea as it may indicate respiratory distress or other complications. 3. Evaluate Necessity of Bedrest Maintaining bedrest is often standard but should be evaluated based on specific patient needs and mobility goals.

Explanation

1. Identify Critical Care Priorities<br /> Focus on monitoring for bleeding, obtaining daily aPTT, and monitoring surgical site as they are crucial for post-surgical care and anticoagulation management.<br />2. Consider Additional Monitoring<br /> Assess pain level to ensure comfort and detect complications. Monitor for tachypnea as it may indicate respiratory distress or other complications.<br />3. Evaluate Necessity of Bedrest<br /> Maintaining bedrest is often standard but should be evaluated based on specific patient needs and mobility goals.
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