Exam (elaborations)
POSTOPERATIVE NURSING MANAGEMENT THE PACU EXAM 2 QUESTIONS AND CORRECT ANSWERS
- Course
- Institution
POSTOPERATIVE NURSING MANAGEMENT THE PACU EXAM 2 QUESTIONS AND CORRECT ANSWERS...
[Show more]
Content preview
POSTOPERATIVE NURSING MANAGEMENTTHE PACU EXAM 2 QUESTIONS AND
CORRECT ANSWERS
What are the three phases of recuperation that take place in the PACU? -
ANSWER 1)During the immediate healing phase, extensive nursing care is
administered. 2) Less intense care: the patient is ready for self-care in the PACU
or transferred to an inpatient or outpatient unit. 3) intended care/observation
unit: the patient is ready for release.
What specific information does the OR nurse provide to the PACU nurse? -
ANSWER overall tolerance, type of surgery, anaesthetics, outcomes,
complications, and I&Os.
What should the nurse remember about the patient's psychological balance in
the PACU? - ANSWER: Speak calmly, orient, create a quiet environment, align
your body, explain, and remember that hearing is the last to go.
What are the PACU nurse's primary concerns when the patient arrives from the
OR? - ANSWER evaluation: VS, respiratory status, colour, fluid intake,
specialized equipment, dressing. Positioning the head to the side or lateral.
What respiratory functions is the nurse accountable for overseeing? - ANSWER
airway until the gag reflex is normal. Position, suction, cough/deep breathing,
O2, mechanical assistance, monitor breath sounds, and avoid aspirations.
What aspects of fluid status does the PACU nurse monitor? - ANSWER blood
loss, IV rate, outputs, bladder distention, electrolytes, hydration, drainage type,
NG tube, and N&V.
What assessment does the nurse make of the incisional site? - ANSWER
drainage, which records drain outflow.
When can the client leave the PACU? - ANSWER VS ok, awake, dressings
fine, airway clear.
, What are the signs of a pulmonary embolism after surgery? - ANSWER: Chest
pain, dyspnea, increased respiratory rate, tachycardia, increased anxiety,
diaphoresis, decreased orientation, decreased blood pressure, blood gas
alterations.
What are urinary-related post-operative complications? - ANSWER urinary
retention, inability to void 8-10 hours after surgery, palpable bladder, frequent
little amounts of voiding, pain in the suprapubic area.
What are the signs of hypovolemic shock after surgery? - ANSWER: Lower
urine, lower blood pressure, weak pulse, cool and clammy skin, restlessness,
increased bleeding, increased thirst, and lower CVP.
What are the indications of atelectasis postoperatively? - ANSWER dyspnea,
tachypnea, decreased breathing sounds, asymmetrical chest movement,
tachycardia, and increased restlessness.
What are the indicators of pneumonia after surgery? - ANSWER: fast, shallow
breathing, fever, wet breath sounds, asymmetrical chest motions, productive
cough, hypoxia, tachycardia, leukocytosis.
What are the indicators of infection after surgery? - The answer is redness.
Purulent discharge, fever, tachycardia, and leukocytosis.
What does "dehiscence" mean? - ANSWER: separation of incision.
What exactly does "evisceration" mean? - ANSWER: Evidence of bowel
through incision. Increase pain level.
What is gastric dilation? - ANSWER: Nausea, vomiting, and distention.
What is a paralytic ileus after surgery? - ANSWER: Lessen bowel noises, no
stool or flatus, nausea, vomiting, abdominal distention, and discomfort.
When can you remove the oral airway? - Answer when the gag reflex returns.
What are the possible airway problems of surgery? - ANSWER hypoxemia:
decreased 02 levels in the blood caused by actelectasis (the most common cause
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller luzlinkuz. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
83637 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now