Question

The nurse is continuing to care for the adolescent.

The nurse is preparing the adolescent for the fasciotomy. Which of the following findings should the nurse report to the provider prior to surgery?
a)The adolescent has not voided in 4 hr.
b)The adolescent's blood pressure is 131/89 mm Hg.
c)The adolescent's parents have concerns regarding the surgery.
d)The adolescent reports severe pain.

Answer 1

The nurse should report that the adolescent has not voided in 4 hours prior to surgery as it may indicate urinary retention.

Step-by-step explanation:

The nurse should report finding a) The adolescent has not voided in 4 hr prior to surgery. This is an important concern as it may indicate urinary retention, which can lead to complications during and after surgery. It is important for the nurse to communicate this to the provider so that appropriate interventions can be initiated.