NUR 145 Module A Practice Questions and Correct Answers
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Course
NUR 145
Institution
NUR 145
Nursing focus for Post-Op period reestablishing pt physiologic equilibrium, alleviating pain, preventing complications, self care pt education
PACU -located adjacent to the OR suite -pt recovering from/still under anesthesia are placed here -easy access to experienced nurses, anesthesiologist, sur...
NUR 145 Module A Practice Questions
and Correct Answers
Nursing focus for Post-Op period ✅reestablishing pt physiologic equilibrium, alleviating
pain, preventing complications, self care pt education
PACU ✅-located adjacent to the OR suite
-pt recovering from/still under anesthesia are placed here
-easy access to experienced nurses, anesthesiologist, surgeons, advanced
hemodynamic and pulmonary monitoring and support, special equipment, and meds
Phases of PACU ✅Phase I: IMMEDIATE recovery phase, intensive nurse care is
provided
Phase II: pt is prepared for self care, care in the hospital, or care in an extended care
setting
Phase III: pt is prepared for discharge
Admission of pt to PACU ✅-transportation here is the responsibility of the
anesthesiologist or CRNA and a licensed OR team member
-anesthesiologist or CRNA stays at hob when transferring to PACU(maintain airway)
-as soon as pt is in PACU bed; gown changed, warmed with blankets, 3 rails raised
-Nurse who admits pt to PACU takes report from anesthesiologist/CRNA and circulating
nurse, O2 is applied, monitoring equipment is attached, and physiologic assessment is
conducted
PACU nursing objectives ✅provide care for pt until recovered from effects of
anesthesia, is oriented, has stable vitals, and shows no evidence of hemorrhage or
other complications
Cornerstones of nursing care in PACU ✅frequent checks of airway, resp function,
cardiovascular function, skin color, loc, and ability to respond to commands
Steps of PACU nursing assessment of pt ✅-baseline vitals are taken
-surgical site checked for drainage or hemorrhage
-ensure all drainage tubes and monitoring lines are connected and functioning
-check IV fluids or meds currently infusing and verify dosage and rate
-after this initial assessment; pt's general physical status is assessed and documented
EVERY 15 MINS
What is the primary objective of immediate post-op period? ✅Maintain ventilation
Maintaining the pt airway post-op ✅-maintaining the pt's airway prevents
hypoxemia(reduced o2 in blood) and hypercapnia(excess co2 in blood)
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