NUR 256
NUR256 MED-SURG EXAM 2025
Phase 1 of PACU care
surgical patients immediately after surgery and for patients whose condition
warrants close monitoring
third intention wound healing
surgical approximation of wound edges is DELAYED and integumentary continuity
is restored by opposing areas of granulation
second intention wound healing
wound edges are NOT surgically approximated and integumentary continuity is
restored by the process known as granulation
Phase II of PACU care
surgical patients who have been transferred from a phase I PACU because their
condition no longer requires the close monitoring provided in a phase I PACU
Phase III of PACU care
patient is cared for in the immediate postoperative period and then prepared for
discharge from the facility
PACU
post anesthesia care unit
postoperative phase
period of time that begins with the admission of the patient to the post-
anesthesia care unit and ends after follow-up evaluation in the clinical setting or
home
correct hypopharyngeal obstruction
-Tilting the head back
-Open the patient's mouth (separate lips and teeth) and move the lower jaw
NUR 256
, NUR 256
forward so that the lower teeth are in front of the upper teeth. -lift with both
hands at the ascending rami of the mandible.
A systolic blood pressure of less than _____ is usually considered immediately
reportable.
90 mm Hg
The patient's preoperative or baseline blood pressure is used to make informed
postoperative comparisons. A previously stable blood pressure that shows a
_____ trend of 5 mm Hg at each 15-minute reading should also be reported.
downward
Hypovolemic shock can be avoided largely by the timely administration of
________ that elevate blood pressure
IV fluids, blood, blood products, and medications
The primary intervention for ______ is volume replacement, with an infusion of
lactated Ringer solution, 0.9% sodium chloride solution, colloids, or blood
component therapy
hypovolemic shock
hypovolemic shock
shock resulting from blood or fluid loss
a patient admitted to the ER with abdominal trauma, what assessment might
indicate hypovolemic shock?
warm, dry skin
increased urinary output
tachycardia
bradypnea
tachycardia
cool, clammy skin
urinary output = or <30 mL/hr
tachypnea
NUR 256
NUR256 MED-SURG EXAM 2025
Phase 1 of PACU care
surgical patients immediately after surgery and for patients whose condition
warrants close monitoring
third intention wound healing
surgical approximation of wound edges is DELAYED and integumentary continuity
is restored by opposing areas of granulation
second intention wound healing
wound edges are NOT surgically approximated and integumentary continuity is
restored by the process known as granulation
Phase II of PACU care
surgical patients who have been transferred from a phase I PACU because their
condition no longer requires the close monitoring provided in a phase I PACU
Phase III of PACU care
patient is cared for in the immediate postoperative period and then prepared for
discharge from the facility
PACU
post anesthesia care unit
postoperative phase
period of time that begins with the admission of the patient to the post-
anesthesia care unit and ends after follow-up evaluation in the clinical setting or
home
correct hypopharyngeal obstruction
-Tilting the head back
-Open the patient's mouth (separate lips and teeth) and move the lower jaw
NUR 256
, NUR 256
forward so that the lower teeth are in front of the upper teeth. -lift with both
hands at the ascending rami of the mandible.
A systolic blood pressure of less than _____ is usually considered immediately
reportable.
90 mm Hg
The patient's preoperative or baseline blood pressure is used to make informed
postoperative comparisons. A previously stable blood pressure that shows a
_____ trend of 5 mm Hg at each 15-minute reading should also be reported.
downward
Hypovolemic shock can be avoided largely by the timely administration of
________ that elevate blood pressure
IV fluids, blood, blood products, and medications
The primary intervention for ______ is volume replacement, with an infusion of
lactated Ringer solution, 0.9% sodium chloride solution, colloids, or blood
component therapy
hypovolemic shock
hypovolemic shock
shock resulting from blood or fluid loss
a patient admitted to the ER with abdominal trauma, what assessment might
indicate hypovolemic shock?
warm, dry skin
increased urinary output
tachycardia
bradypnea
tachycardia
cool, clammy skin
urinary output = or <30 mL/hr
tachypnea
NUR 256
