Chapter 17 med surg (PACU) exam (Questions & Answers) Rated 100%

Shortly later after admission to the PACU, Mr. Wells becomes restless, and his heart rate goes up to 100 bpm. As the nurse assesses him, the priority assessment should include which interventions? Select all that apply. A. Check his dressing and drains for bleeding B. Check his breathing and oxygen saturation C. Check his pain and comfort level D. Check to see if he has to have a bowel movement E. Check his blood pressure and fluid volume status - ️️a,b,c,e The nurse understands PACUs are designed for which of the following a) managing the transition from anesthesia to long-term care b) Managing the transition from anesthesia through phrase 3 of recovery c) Managing the transition from anesthesia through phase 2 of recovery d) Managing the transition from anesthesia through rehab - ️️c ICU - ️️critically ill patients who require extensive and complex monitoring because of the high risk of complications (brain surgery, trauma patients) out patient post-anesthesia care unit - ️️patients going home after the procedure (cholecystectomies, dental surgeries) PACU care: Phase 2 - ️️monitoring is less intense. Prepare patient for discharge PACU care: Phase 3 - ️️focuses on providing ongoing care after discharge is met The nurse understands that a patient undergoing right upper lobe lobectomy requiring general anesthesia will receive recovery care in which of the following settings? a) outpatient PACU b) procedure area PACU c) Surgical center PACU d) inpatient PACU - ️️D The nurse understands that the immediate postop assessment upon admission to the PACU includes which of the following? Select all that apply: a) medical history b) full system review c) neuro assessment d) blood pressure e) surgical site drainage - ️️c,d,ePatient-controlled analgesia (PCA) - ️️pump for the delivery of opioid medications for patients (only patient can press button, no nurses or fam members) PONV - ️️postoperative nausea and vomiting (to decrease this, postop opiod use should be minimized and hydration optimized)