Postoperative nursing |\ |\
management, the PACU (exam |\ |\ |\ |\
#2) QUESTIONS WITH ANSWERS|\ |\ |\
What are the 3 phases of recovery that occur in the PACU? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔1)Immediate recovery phase: intensive
|\ |\ |\ |\ |\ |\
nursing care provided. 2) less intensive care: patient prepared for
|\ |\ |\ |\ |\ |\ |\ |\ |\
self care in PACU or transfer to an inpatient unit or outpatient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
unit. 3) exntended care/observation unit: patient prepared for
|\ |\ |\ |\ |\ |\ |\ |\
discharge.
What specific information does the OR nurse give the PACU
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse? - CORRECT ANSWERS ✔✔overall tolerance, type of
|\ |\ |\ |\ |\ |\ |\ |\
surgery, type of anesthetics, results, complications, I&O's.
|\ |\ |\ |\ |\ |\
What should the nurse remember about the patient psychological
|\ |\ |\ |\ |\ |\ |\ |\
equilibrium in the PACU? - CORRECT ANSWERS ✔✔speak calmly,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
orient, quiet atmosphere body alignment, explain, remember
|\ |\ |\ |\ |\ |\ |\
hearing is last to go. |\ |\ |\ |\
What are the PACU nurse's priority of concerns when the patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
arrives from the OR? - CORRECT ANSWERS ✔✔assessment: VS,
|\ |\ |\ |\ |\ |\ |\ |\ |\
respiratory status, color, fluid intake, special equipment,
|\ |\ |\ |\ |\ |\ |\
dressing. Positioning of the head to side or lateral sims.
|\ |\ |\ |\ |\ |\ |\ |\ |\
What respiratory functions is the nurse responsible for
|\ |\ |\ |\ |\ |\ |\ |\
managing? - CORRECT ANSWERS ✔✔airway until gag reflex is ok.
|\ |\ |\ |\ |\ |\ |\ |\ |\
, position, suction, cough/deep breathe, O2, mechanical support,
|\ |\ |\ |\ |\ |\ |\ |\
check breath sounds, prevent aspirations.
|\ |\ |\ |\
What does the PACU nurse monitor regarding fluid status? -
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CORRECT ANSWERS ✔✔blood loss, IV rate, outputs, bladder
|\ |\ |\ |\ |\ |\ |\ |\
distention, electrolyte, hydration, character of drainage, NG tube,
|\ |\ |\ |\ |\ |\ |\
N&V.
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What does the nurse assess on the incisional site? - CORRECT
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ANSWERS ✔✔drainage, record output from drains.
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when can the client leave the PACU? - CORRECT ANSWERS ✔✔VS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ok, awake, dressings ok, airway ok.
|\ |\ |\ |\ |\ |\
What are signs of a pulmonary embolism postoperatively? -
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CORRECT ANSWERS ✔✔chest pain, dyspnea, increase resp. rate,
|\ |\ |\ |\ |\ |\ |\ |\
tachycardia, increased anxiety, diaphoresis, decreased
|\ |\ |\ |\ |\
orientation, decreased BP, blood gas changes. |\ |\ |\ |\ |\
What are post op complications regarding the urinary system? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔urinary retention, unable to void 8-10 hrs
|\ |\ |\ |\ |\ |\ |\ |\
post op, palpable bladder, frequent small amount of voiding,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pain suprapubic area.
|\ |\
What are signs of hypovolemic shock postoperatively? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔decrease urine, decrease BP, weak pulse, cool
|\ |\ |\ |\ |\ |\ |\ |\ |\
clammy, restless, increase bleeding, increase thirst, decrease
|\ |\ |\ |\ |\ |\ |\
cvp.
management, the PACU (exam |\ |\ |\ |\
#2) QUESTIONS WITH ANSWERS|\ |\ |\
What are the 3 phases of recovery that occur in the PACU? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔1)Immediate recovery phase: intensive
|\ |\ |\ |\ |\ |\
nursing care provided. 2) less intensive care: patient prepared for
|\ |\ |\ |\ |\ |\ |\ |\ |\
self care in PACU or transfer to an inpatient unit or outpatient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
unit. 3) exntended care/observation unit: patient prepared for
|\ |\ |\ |\ |\ |\ |\ |\
discharge.
What specific information does the OR nurse give the PACU
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse? - CORRECT ANSWERS ✔✔overall tolerance, type of
|\ |\ |\ |\ |\ |\ |\ |\
surgery, type of anesthetics, results, complications, I&O's.
|\ |\ |\ |\ |\ |\
What should the nurse remember about the patient psychological
|\ |\ |\ |\ |\ |\ |\ |\
equilibrium in the PACU? - CORRECT ANSWERS ✔✔speak calmly,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
orient, quiet atmosphere body alignment, explain, remember
|\ |\ |\ |\ |\ |\ |\
hearing is last to go. |\ |\ |\ |\
What are the PACU nurse's priority of concerns when the patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
arrives from the OR? - CORRECT ANSWERS ✔✔assessment: VS,
|\ |\ |\ |\ |\ |\ |\ |\ |\
respiratory status, color, fluid intake, special equipment,
|\ |\ |\ |\ |\ |\ |\
dressing. Positioning of the head to side or lateral sims.
|\ |\ |\ |\ |\ |\ |\ |\ |\
What respiratory functions is the nurse responsible for
|\ |\ |\ |\ |\ |\ |\ |\
managing? - CORRECT ANSWERS ✔✔airway until gag reflex is ok.
|\ |\ |\ |\ |\ |\ |\ |\ |\
, position, suction, cough/deep breathe, O2, mechanical support,
|\ |\ |\ |\ |\ |\ |\ |\
check breath sounds, prevent aspirations.
|\ |\ |\ |\
What does the PACU nurse monitor regarding fluid status? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔blood loss, IV rate, outputs, bladder
|\ |\ |\ |\ |\ |\ |\ |\
distention, electrolyte, hydration, character of drainage, NG tube,
|\ |\ |\ |\ |\ |\ |\
N&V.
|\
What does the nurse assess on the incisional site? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔drainage, record output from drains.
|\ |\ |\ |\ |\
when can the client leave the PACU? - CORRECT ANSWERS ✔✔VS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ok, awake, dressings ok, airway ok.
|\ |\ |\ |\ |\ |\
What are signs of a pulmonary embolism postoperatively? -
|\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔chest pain, dyspnea, increase resp. rate,
|\ |\ |\ |\ |\ |\ |\ |\
tachycardia, increased anxiety, diaphoresis, decreased
|\ |\ |\ |\ |\
orientation, decreased BP, blood gas changes. |\ |\ |\ |\ |\
What are post op complications regarding the urinary system? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔urinary retention, unable to void 8-10 hrs
|\ |\ |\ |\ |\ |\ |\ |\
post op, palpable bladder, frequent small amount of voiding,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pain suprapubic area.
|\ |\
What are signs of hypovolemic shock postoperatively? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔decrease urine, decrease BP, weak pulse, cool
|\ |\ |\ |\ |\ |\ |\ |\ |\
clammy, restless, increase bleeding, increase thirst, decrease
|\ |\ |\ |\ |\ |\ |\
cvp.
