The registered nurse is performing the steps of a time-out. Which components should be included?
Select all that apply.
a. Patient stating his/her full name
b. patient stating his/her DOB
c. patient stating the site of the procedure
d. patient stating his/her social security number
e. patient stating his/her allergies - verified answer A, B, C, D
The registered nurse is teaching about levels of postanesthesia care unit (PACU) care to a nursing
student while caring for a patient who is transferred from the operating room to the PACU. Which
statement made by the nursing student indicates effective understanding?
a. "I will transfer the patient to phase II when the patient is on a mechanical ventilator
b. "I will transfer the patient to phase II when the pulse rate is 55 beats/min."
c. "I will transfer the patient to phase II when the pain score is 2."
d. "I will transfer the patient with heavy bleeding to phase III." - verified answer c. "I will transfer the
patient to phase II when the pain score is 2."
Which health-care professional accompanies the patient who is transferred from the operating room
to the postanesthesia care unit (PACU) after surgery?
A. physician assistant
B. anesthesia provider
C. surgical technologist
D. operating room technician - verified answer B
Which is true regarding informed consent?
A. It includes type of instruments used for surgery.
B. It includes the reason for the surgery
, C. It includes the name of the registered nurse
D. It includes the allergic history of the patient - verified answer B
The surgeon, after talking to the mother of a 1-year-old infant scheduled for heart surgery, decides
to postpone surgery. Which statement made by the infant's mother most likely influenced the
surgeon's decision?
A. "I fed the infant formula 2 hours ago"
B. "I fed the infant an apple 8 hours ago"
C. "I fed the infant grape juice 6 hours ago"
D. " I fed the infant breast milk 4 hours ago" - verified answer A
The nurse is managing pain for a patient in the postanesthesia care unit (PACU). Which actions are
the priority?
A. Assessing for an increase in HR, respirations, and blood pressure
B. Using strong opioids for pain control
C. Monitoring the depth of sleep
D. Holding pain medications until the patient requests them - verified answer A
What should be the immediate nursing intervention when a patient is transferred to the
postanesthesia care unit (PACU) after surgery?
A. assessing the vital signs
B. providing IV fluids
C. administering acetaminophen
D. Administering metoclopramide - verified answer A
The nurse has concerns that there may be a risk for deep vein thrombosis in a patient who is
scheduled for hip replacement. Which statement made by the patient most likely supports the
nurse's suspicion?
A. "I drink two glasses of wine per week"