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NUR 242 Ch 16 Postoperative Care | 140+ Q&A | PACU, Vitals, Pain, Anesthesia, Wounds, Complications

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This expertly verified document includes over 140 detailed questions and answers aligned with Chapter 16 of the 2026 NUR 242 curriculum, focusing on postoperative patient management. The content is based on Ignatavicius & Workman: Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care and provides a deep dive into post-surgical nursing responsibilities from PACU admission to discharge. Key areas covered include: Postoperative phases (Phase 1, 2, and 3), with emphasis on airway, vitals, LOC, and transfer criteria Assessment protocols: VS frequency, signs of shock, respiratory depression, cardiac rhythms (v-fib, asystole, v-tach), and oxygen saturation thresholds Respiratory concerns: stridor, snoring, accessory muscle use, hypoventilation, and interventions like coughing, deep breathing, and incentive spirometry Cardiac management: monitoring for bradycardia, tachycardia, pulse deficit, and complications from anesthesia or regional blocks Neurological checks: LOC changes, reflex testing, sensory assessments post-anesthesia Renal and urinary care: tracking UO, assessing for retention, bladder scans, hydration markers, and signs of renal compromise Gastrointestinal function: ileus risks, NG tube care, nausea/vomiting control (Zofran, Dramamine, scopolamine), and bowel function indicators Wound and skin care: dressing changes, dehiscence, evisceration (with emergency response protocol), and use of drains (Hemovac, Jackson-Pratt) Pain management: pharmacological (morphine, Narcan) and non-pharmacological techniques, setting pain goals, and opioid-related risks Lab and diagnostics: CBC, BMP, H&H, ABGs, left-shift (bandemia), urine output, and electrolyte changes Ideal for: Nursing students in ADN, BSN, and LPN-to-RN programs Students taking Medical-Surgical Nursing, Postoperative Nursing, or Adult Health Candidates preparing for NCLEX-RN, ATI, HESI, or in final-semester clinical rotations This document delivers concise, test-ready material for mastering nursing care in the critical post-surgical period, ensuring safety, clinical competence, and confident patient assessments. Keywords: postoperative care, PACU nursing, anesthesia recovery, wound dehiscence, evisceration nursing, VS monitoring, respiratory depression, surgical complications, incentive spirometry, opioid side effects, ABG values, NG tube care, wound healing, post op pain, bradycardia, stridor, phase 1 2 3 recovery, NUR 242, NCLEX prep, HESI review, surgical nursing, vitals charting, urinary retention

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Test 1 NUR 242 Ch 16 2026
Expert Verified | Ace the Test



when does post op care begin - 🧠 ANSWER ✔✔completion of surgery and

transfer to PACU, ambulatory care or ICU


what is phase 1 of post op? - 🧠 ANSWER ✔✔immediately follows surgery ,

requires ongoing monitor of VS, airway patency, and proof of progress


what is phase 2 of post op? - 🧠 ANSWER ✔✔when transferred to med surg

floor or discharged


phase 3 of post op? - 🧠 ANSWER ✔✔time in acute care, can be at home or

in hospital can be continuous care

,VS can be taken multiple times or only 1x daily


what supplies are typically used in PACU - 🧠 ANSWER ✔✔suctioning


o2

cardiac monitors

capnography

crash carts


What must you have before admission to PACU - 🧠 ANSWER ✔✔a report

from intra operative

what causes an admission into an acute care or extended living facility - 🧠

ANSWER ✔✔unstable VS, poor gas exchange, excessive N/V,

unmanageable alteration in comfort


when can a patient be taken off ventilation? - 🧠 ANSWER ✔✔once they can

hold their head by themselves place them on a CPAP instead

once the pt arrives when does the pacu nurse perform an assessment - 🧠

ANSWER ✔✔immediately


what assessment data must be collected? - 🧠 ANSWER ✔✔LOC, temp,

RR, HR, pulse ox, BP, examination of surgical area for bleeding

,discharge is determined by level of recovery rated from 9-10


what is every post op patient at risk for - 🧠 ANSWER ✔✔shock


pneumonia

cardiac arrest

respiratory arrest

clotting

VTE

GI bleeds


what is indictive of respiratory depression - 🧠 ANSWER ✔✔RR less than 10


what can stridor or snoring indicate - 🧠 ANSWER ✔✔occurs w airway

obstruction and can be from tracheal/laryngeal edema, mucus, or tongue

relaxation

when ... is retained it causes mm weakness that can impair gas exchange -

🧠 ANSWER ✔✔nm blocking agents




COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED

, how often should you assess the lungs - 🧠 ANSWER ✔✔every 4 hours

during the first 24 hours post op and every 8 hrs as indicated


what is the criteria for discharge - 🧠 ANSWER ✔✔LOC, TPR, O2 sat, BP,

Gag reflex


what should be in the hand off report - 🧠 ANSWER ✔✔extent of procedure


type of anesthesia and time the patient was under

allergies

health problems

relavent complications

how were complications managed

VS

I/O

amount of IV or blood product

medication administered

when the next dose of meds are due

language or language impairement

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