100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Postoperative nursing management, the PACU (exam #2) 2025/2026 ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!! $13.49
Add to cart

Exam (elaborations)

Postoperative nursing management, the PACU (exam #2) 2025/2026 ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!

 0 purchase
  • Course
  • Prophecy PACU RN A v1
  • Institution
  • Prophecy PACU RN A V1

Postoperative nursing management, the PACU (exam #2) 2025/2026 ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!

Preview 2 out of 5  pages

  • January 10, 2025
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • prophecy pacu rn a v1
  • Prophecy PACU RN A v1
  • Prophecy PACU RN A v1
avatar-seller
TutorHub
Postoperative nursing management, the
PACU (exam #2)

How can the nurse assess for hypoxemia? - ANS-02 saturation <90%, agitation to somnolence,
hypertension to hypotension, tachycardia to bradycardia, dyspnea.
How can the nurse minimize the patients pain and anxiety? - ANS-assess patient comfort,
control of environment: quiet, low lights, noise level. Give analgesics as indicated: usually short
acting opioid IVs such as fentanyl. Epidural catheters, PCA, or regional anesthetic blockade.
Comfort measures and explain procedures to relieve patient's fears and concerns. Allow family
to visit per policy.
How should drainage decrease from a wound? - ANS-sanguineous to serosanguinous to serous
with decreasing output.
The nurse is assigned to a patient who suffered partial thickness burns to the face when trying
to smoke a cigarette while using oxygen by nasal cannula. The nurse identifies that there are
several major concerns for this patient. The first priority for the nurse is ? - ANS-protect airway
What are classic signs of cardiovascular complications? - ANS-restlessness/agitation the LOC.
Pallor, cool, clammy skin, rapid, weak, thready pulse, rapid breathing, low blood pressure.
Thirst, may be N/V. Concentrated urine. Narrowing pulse pressure. Cyanosis of the lips, gums.
What are DVTs? - ANS-deep vein thrombosis. Stress response leads to increas in clotting.
Develops due to prolonged bed rest, body position and pressure leading to venous stasis. S/s:
pain/cramp of entire leg/calf, swelling of calf, fever, chills. Risk for pulmonary embolus,
heparin/enoxaparin sodium, SCDs or TED hose, ankle/leg exercises, ambulation, fluids: avoid
dehydration.
What are interventions for cardiovascular problems? - ANS-accurate I & Os, monitor laboratory
findings, assessment of infusion rate of fluid replacement, adequate mouth care/
what are interventions for gastrointestinal complications? - ANS-NPO, nasogastric tube,
antiemetic, early and frequent ambulation to prevent abdominal distention and relieve sharp gas
pains. Encourage patient to expel flatus. Stool softeners/suppositories prn. Position on right
side.
What are interventions for hypothermia? - ANS-passive re-warming is shivering. Active
rewarming-blankets, heated aerosols, radiant warmers, forced air warmers, or heated water ex
bair huggers.
What are interventions for urinary complications? - ANS-assess for bladder distention, position
upright. Straight catheter. Bethanechol (urecholine) usually 10mg po q 6hrs x 3 doses or until
client has voided after catheter removed.
What are interventions when respiratory depression is occuring? - ANS-incentive spirometer q
10 mins while awake, turns, cough & deep breath ever 2 hrs.
What are nursing interventions for altered temperature? - ANS-measures temperature every 4
hrs for first 48hrs postoperatively. Asepsis with wound and IV sites. Encourage airway

, clearance. Chest x-rays and cultures if infection suspected. Antipyretics and body-cooling
>103F.
What are nursing interventions for neurologic headaches? - ANS-compare respiration function
due to the fact hypoxemia is the most commonplace reason of post-op agitation. Reorient,
hydration, think again doses of meds, exclude all other causes of misunderstanding.
What are nursing interventions for breathing headaches? - ANS-pulse oximetry, oral airway or
reposition hypopharyngeal obstruction, deep breathing supplemental oxygen, report wheezing
or stridor, area palm of hand above pt's nostril/mouth to feel exhaled breath, suction excess
secretions or vomitus, flip head to 1 facet.
What are publish op complications regarding the urinary device? - ANS-urinary retention, unable
to void 8-10 hrs submit op, palpable bladder, common small amount of voiding, pain suprapubic
place.
What are potential changes in gastrointestinal function? - ANS-N/V, constipation-no bowel
motion within 48hrs, paralytic ileus-lower in or absence of intestinal peristalsis that can arise
after belly surgical procedure.
What are potential alterations in neurologic functions? - ANS-emergence delirium, or violent
emergence: symtoms restlessness, agitation, disorientation, thrashing, and shouting. Because
of anesthesia, hypoxia, bladder distention, pain, electrolyte abnormality, or affected person's
nation of tension preoperatively. Visible in fifty one% of older adults.
What are potential alterations in skin integrity? - ANS-incision disrupts skin barrier and healing is
fundamental challenge for the duration of postoperative in the course of postoperative length.
Impaired wound recovery visible in patients with persistent sickness and aged. Evidence of
wound contamination commonly no longer apparent till third-5th postoperatively day with
temperature >100. Accumulation of fluids in wound can also impair recuperation and predipose
to infection, drain may be positioned including JP, hemovac, penrose, sulcotrans.
What are capability alterations in temperature? - ANS-hypothermia may be found in
instantaneous postoperative length. Fever may arise at any time: slight elevation up to one
hundred.4F may end result from pressure response in first 24-forty eight hours postoperative
because of inflammatory reaction to surgical pressure. Mild elevation of > one hundred.4 F
generally because of lung congestion or atelectasis and infrequently by using dehydration inside
the first 2 days.
What are potential changes/management in urinary characteristic? - ANS-low urinary output can
be predicted inside the first 24 hrs, regardless of consumption, minimal 30ml/hr. Loss of tone
from anesthetic or opioids seen 6-8 hrs postoperative can bring about urinary retention.
Predicted to void within 8 hrs after surgery.
What are ability complications of the cardiovascular system? - ANS-hypotension, surprise,
hemorrhage, hypertension, dysrhythmias.
What are potentials airway complications of surgical operation? - ANS-hypoxemia: decreased
02 within the blood resulting from actelectasis(maximum common purpose of postoperative
hypoxemia), pulmonary edema, aspiration of gastric contents, pulmonary embolus,
laryngospasm & bronchospasm, hypoventilation.
What are S/S of paralytic ileus? - ANS-n/v, absent bowel sounds, loss of flatus, abdominal
distention, closing 24-48hrs.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller TutorHub. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $13.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

72171 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling
$13.49
  • (0)
Add to cart
Added