©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Wednesday, July 31, 2024 9:10 AM
Postoperative nursing management, the PACU (exam #2)
Questions and Answers (100% Pass)
What are the 3 phases of recovery that occur in the PACU? - ✔️✔️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? - ✔️✔️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? - ✔️✔️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? -
✔️✔️assessment: VS, respiratory status, color, fluid intake, special equipment, dressing.
Positioning of the head to side or lateral sims.
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, ©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Wednesday, July 31, 2024 9:10 AM
What respiratory functions is the nurse responsible for managing? - ✔️✔️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? - ✔️✔️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? - ✔️✔️drainage, record output from
drains.
when can the client leave the PACU? - ✔️✔️VS ok, awake, dressings ok, airway ok.
What are signs of a pulmonary embolism postoperatively? - ✔️✔️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? - ✔️✔️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? - ✔️✔️decrease urine, decrease
BP, weak pulse, cool clammy, restless, increase bleeding, increase thirst, decrease cvp.
What signs of Atelectasis postoperatively? - ✔️✔️dyspnea, tachypnea, decrease breath
sounds, asymmetrical chest movement, tachycardia, increase restlessness.
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