Exam 4- Chapter 16 Care of
postoperative patients quizzes & right
answers.
Postoperative Period ANS - -Begins with completion of surgery and transfer to PACU, ambulatory care
unit, or ICU
-Surgical Care Improvement Project (SCIP) measures established in the pre-operative period are re-
evaluated (Core Measures)
PACU Recovery Room ANS - -Ongoing evaluation and stabilization of patients
-To anticipate, prevent, and manage complications after surgery
-The Joint Commission's NPSGs require circulating nurses and anesthesia providers to give PACU nurses
verbal hand-off reports
The PACU Nurse ANS - -Skilled in the care of patients with multiple medical and surgical problems
In-depth knowledge of:
-Anatomy and physiology
-Anesthetic agents
-Pharmacology
-Pain management
-Extubation
-Able to make quick decisions
-Works closely with anesthesiologist and surgeon
Respiratory System Assessment ANS - -Patent airway, adequate gas exchange
-Note artificial airway when applicable
-Rate, pattern, depth of breathing
-Breath sounds
, -Accessory muscle use
-Snoring and stridor
-Respiratory depression or hypoxemia
Cardiovascular Assessment ANS - -Vital signs
-Heart sounds
-Cardiac monitoring
-Peripheral vascular assessment
-Monitor for VTE
Neurologic System ANS - -Cerebral functioning
-Motor and sensory assessment after epidural or spinal anesthesia
Fluid, Electrolyte, &
Acid-Base Balance ANS - -Intake and output (I&O)
-Hydration status
-IV fluids
-Vomitus
-Urine
-Wound drainage
-Nasogastric (NG) tube drainage
-Acid-base balance
Renal/Urinary System ANS - -Check for urine retention
-Consider other sources of output
-Sweat
-Vomitus
-Diarrhea stools
-Report urine output of <30 mL/hr
postoperative patients quizzes & right
answers.
Postoperative Period ANS - -Begins with completion of surgery and transfer to PACU, ambulatory care
unit, or ICU
-Surgical Care Improvement Project (SCIP) measures established in the pre-operative period are re-
evaluated (Core Measures)
PACU Recovery Room ANS - -Ongoing evaluation and stabilization of patients
-To anticipate, prevent, and manage complications after surgery
-The Joint Commission's NPSGs require circulating nurses and anesthesia providers to give PACU nurses
verbal hand-off reports
The PACU Nurse ANS - -Skilled in the care of patients with multiple medical and surgical problems
In-depth knowledge of:
-Anatomy and physiology
-Anesthetic agents
-Pharmacology
-Pain management
-Extubation
-Able to make quick decisions
-Works closely with anesthesiologist and surgeon
Respiratory System Assessment ANS - -Patent airway, adequate gas exchange
-Note artificial airway when applicable
-Rate, pattern, depth of breathing
-Breath sounds
, -Accessory muscle use
-Snoring and stridor
-Respiratory depression or hypoxemia
Cardiovascular Assessment ANS - -Vital signs
-Heart sounds
-Cardiac monitoring
-Peripheral vascular assessment
-Monitor for VTE
Neurologic System ANS - -Cerebral functioning
-Motor and sensory assessment after epidural or spinal anesthesia
Fluid, Electrolyte, &
Acid-Base Balance ANS - -Intake and output (I&O)
-Hydration status
-IV fluids
-Vomitus
-Urine
-Wound drainage
-Nasogastric (NG) tube drainage
-Acid-base balance
Renal/Urinary System ANS - -Check for urine retention
-Consider other sources of output
-Sweat
-Vomitus
-Diarrhea stools
-Report urine output of <30 mL/hr
