PACU post op Questions with Detailed Verified
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Which description illustrates the beginning of the postoperative period?
a. completion of the surgical procedure and arousal of the patient from
anesthesia in the operating room
b. Providing care before, during and after surgery
c. closure of the patients surgical incision with sutures
d. Completion of the surgical procedure and transfer of the patient to the post
anesthesia care unit (PACU
Ans: d
What is the primary purpose of a post anesthesia care unit (PACU)?
a. follow-through on the surgeon's postoperative orders
b. Ongoing critical evaluation and stabilization of the patient
c. Prevention of lengthened hospital stay
d. Arousal of patient following the use of conscious sedation
Ans: b
A patient develops respiratory distress after having a left total hip replacement.
The patient develops labored breathing, and a pulse oximetry reading is 83%
on 2 L oxygen via nasal cannula. Which intervention is appropriate for the
nurse to delegate to unlicensed assistive personnel (UAP)?
a. Assess change in patient's respiratory status
b. Order necessary medications to be administered
c. Insert ora airway to maintain open airway
d. Check the patient's vital signs
Ans: d
Which statement best describes phase I care after surgery?
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a. Phase I care occurs immediately after surgery, most often in a post
anesthesia care unit (PACU).
b. Phase I care focuses on preparing the patient for care in an extended care
environment.
c. Phase I care discharge occurs when pre surgery level of consciousness has
returned, oxygen saturation is at baseline, and vital signs are stable.
Ans: a
The patient is recovering in a post anesthesia care unit (PACU) environment
that advances the patient quickly from a Phase I care level to a Phase III care
level, preparing for discharge to home. What type of surgery is this patient
MOST likely having?
a. elective surgery
b. emergency surgery
c. same day surgery
d. urgent surgery
Ans: c
Which signs/symptoms are considered post operative complications? SELECT
ALL THAT APPLY
a. sedation
b. pain at the surgical site
c. pulmonary embolism
d. hypothermia
e. wound evisceration
f. ostoperative ileus
Ans: c, d, e, f
If a patient experiences a wound dehiscence, which description best
characterizes what is happening with the wound?
a. purulent drainage is present at incision site because of infection
b. extreme pain is present at incision site
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c. a partial or complete separation of outer layers is present at incision site
d. the inner and out layers of the incision are separated
Ans: c
A patient who is 2 days postoperative for abdominal surgery states, "I coughed
and heard something pop." The nurse's immediate assessment reveals an
opened incision with a portion of large intestine protruding. Which statements
apply to this clinical situation? SELECT ALL THAT APPLY
a. incision dehiscence has occurred
b. this is an emergency.
c. the wound must be kept moist with normal saline-soaked sterile dressings
d. this is an urgent situation.
e. incision evisceration has occurred.
f. a nasogastric (NG) tube may be ordered to decompress the stomach
Ans: b, c, e, f
In the post anesthesia care unit (PACU), the nurse assesses that a patient is
bleeding profusely from an abdominal incision. What is the nurses best first
action?
a. notify the surgeon
b. apply pressure to the wound dressing
c. instruct the unlicensed assistive personnel (UAP) to get additional dressing
supplies
d. request and draw a complete blood count
Ans: b
Which members of the surgical team usually accompany a postoperative
patient to the post anesthesia care unit (PACU)?
a. anesthesia provider and circulating nurse
b. circulating nurse and surgeon
c. surgeon and anesthesia provider
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