Postoperative nursing management, the PACU (exam #2) | 60 Questions with 100% Correct Answers | Updated & Verified
What are the 3 phases of recovery that occur in the PACU? - ANS - 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? - ANS - 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? - ANS - 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? - ANS - 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? - ANS - 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? - ANS - 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? - ANS - drainage, record output from drains.
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