8/12/23, 6:56 AM POSTOPERATIVE NURSING CARE

POSTOPERATIVE NURSING CARE

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1. What does progression of patients through various phases of care in a * 1 point

post anesthesia care unit (PACU) primarily depend on?

a. Condition of patient

b. Type of anesthesia used

c. Preference of surgeon

d. Type of surgical procedure

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2. Priority Decision: Upon admission of a patient to the PACU, the nurse’s * 1 point
priority assessment is

a. vital signs.

b. surgical site.

c. respiratory adequacy.

d. level of consciousness.

3. How is the initial information given to the PACU nurses about the surgical * 1 point
patient?

a. A copy of the written operative report

b. A verbal report from the circulating nurse

c. A verbal report from the anesthesia care provider (ACP)

d. An explanation of the surgical procedure from the surgeon

4. To prevent agitation during the patient’s recovery from anesthesia, when * 1 point

should the nurse begin orientation explanations?

a. When the patient is awake

b. When the patient first arrives in the PACU

c. When the patient becomes agitated or frightened

d. When the patient can be aroused and recognizes where he or she is

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5. What is included in the routine assessment of the patient’s * 1 point

cardiovascular function on admission to the PACU?

a. Monitoring arterial blood gases

b. Electrocardiographic (ECG) monitoring

c. Determining fluid and electrolyte status

d. Direct arterial blood pressure monitoring

6. With what are the postoperative respiratory complications of atelectasis * 1 point

and aspiration of gastric contents associated?

a. Hypoxemia

b. Hypercapnia

c. Hypoventilation

d. Airway obstruction

7. To prevent airway obstruction in the postoperative patient who is * 1 point

unconscious or semiconscious, what will the nurse do?

a. Encourage deep breathing

b. Elevate the head of the bed

c. Administer oxygen per mask

d. Position the patient in a side-lying position

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8. Priority Decision: To promote effective coughing, deep breathing, and * 1 point

ambulation in the postoperative patient, what is most important for the
nurse to do?

a. Teach the patient-controlled breathing

b. Explain the rationale for these activities

c. Provide adequate and regular pain medication

d. Use an incentive spirometer to motivate the patient

9. While assessing a patient in the PACU, the nurse finds that the patient’s * 1 point

blood pressure is below the preoperative baseline. The nurse determines

that the patient has residual vasodilating effects of anesthesia when what
is assessed?

a. A urinary output >30 mL/hr.

b. An oxygen saturation of 88%

c. A normal pulse with warm, dry, pink skin

d. A narrowing pulse pressure with normal pulse

10. Priority Decision: A patient in the PACU has emergence delirium * 1 point
manifested by agitation and thrashing. What should the nurse assess for
first in the patient?

a. Hypoxemia

b. Neurologic injury

c. Distended bladder

d. Cardiac dysrhythmias

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