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Chapter 20 Post-op Complete Study Guide Test.

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Chapter 20 Post-op Complete Study Guide Test. 1. What does progression of pa- tients through various phases of a. condition of patient Although some surgical procedures and drug adminis- care in a postanesthesia care unit tration require more intensive postanesthesia care, how (PACU) primarily depend on? a. condition of patient b. type of anesthesia used c. respiratory adequacy d. type of surgical procedure 2. Upon admission of a patient to the PACU, the nurse's priority nursing assessment is a. vital signs b. surgical site c. respiratory adequacy d. level of consciousness fast and through which levels of care patients are moved depend on the condition of the patient. A physiologically unstable outpatient may stay an extended time in Phase I, whereas a patient requiring hospitalization but who is stable and recovering may well be transferred quickly to an inpatient unit. c. respiratory adequacy Physiologic status of the patient is always prioritized with regard to airway; breathing, and circulation, and respira- tory adequacy is the first assessment priority of the patient on admission to the PACU from the operating room. Fol- lowing assessment of respiratory function, cardiovascular, neurologic and renal function should be assessed as well as the surgical site. 3. How is the initial information giv- c. a verbal report from the ACP en to the PACU nurses about the surgical patient? The admission of the patient to the PACU is a joint ettort between the ACP, who is responsible for supervising the postanesthesia recovery of the patient, and the PACU nurse, a. a copy of the written operative who provides care during anesthesia recovery. The ACP report b. a verbal report from the circu- lating nurse c. a verbal report from the ACP d. an explanation of the surgical procedure from the surgeon 4. gives a verbal report that presents the details of the surgical and anesthetic course, preoperative conditions influencing the surgical and anesthetic outcome, and PACU treatment plans to ensure patient safety and continuity of care. To prevent agitation during the patient's recovery from anesthe- b. when the patient first arrives in the PACU Even before patients awaken from anesthesia, their sense sia, when should the nurse begin of hearing returns and all activities should be explained by orientation explanations? a. when the patient is awake b. when the patient first arrives in the PACU c. when the patient becomes frightened or agitated d. when the patient can be aroused and recognizes where he or she is 5. What is included in the routine assessment of the patient's car- diovascular function on admis- sion to the PACU? a. monitoring arterial blood gas- es b. ECG monitoring c. determining fluid and elec- trolyte status d. direct arterial blood pressure monitoring With what are the post-op respi-

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Chapter 20 Post-op Complete Study Guide Test.

1. What does progression of
a. condition of patient
pa- tients through various
Although some surgical procedures and drug
phases of
adminis-
care in a postanesthesia care unit tration require more intensive postanesthesia
care, how
(PACU) primarily depend fast and through which levels of care patients are
on? moved depend on the condition of the patient. A
physiologically unstable outpatient may stay an
a. condition of patient
extended time in Phase I, whereas a patient
b. type of anesthesia used
requiring hospitalization but who is
c. respiratory adequacy
stable and recovering may well be transferred
d. type of surgical
procedure quickly to an inpatient unit.

c. respiratory adequacy
2. Upon admission of a
patient to the PACU, the Physiologic status of the patient is always
nurse's priority nursing prioritized with regard to airway; breathing, and
assessment is circulation, and respira- tory adequacy is the first
assessment priority of the patient on admission to
a. vital signs the PACU from the operating room. Fol- lowing
b. surgical site assessment of respiratory function, cardiovascular,
c. respiratory adequacy neurologic and renal function should be assessed
d. level of consciousness as well as the surgical site.

3. How is the initial information giv- c. a verbal report from the ACP
en to the PACU nurses about The admission of the patient to the PACU is a joint
the surgical patient? ettort between the ACP, who is responsible for
supervising the postanesthesia recovery of the
patient, and the PACU nurse,
a. a copy of the written operative who provides care during anesthesia recovery.
The ACP
report circu- lating nurse
b. a verbal report from the c. a verbal report from the ACP
1/
17

, Chapter 20 Post-op Complete Study Guide Test.

d. an explanation of the gives a verbal report that presents the details of the
surgical procedure from the surgical and anesthetic course, preoperative
surgeon conditions influencing the surgical and anesthetic
outcome, and PACU treatment plans to ensure
4.
patient safety and continuity of care.




2/
17

, Chapter 20 Post-op Complete Study Guide Test.

To prevent agitation during b. when the patient first arrives in the PACU
the patient's recovery from Even before patients awaken from anesthesia, their
anesthe- sense
sia, when should the nurse begin of hearing returns and all activities should be
explained by
orientation explanations? gastric con- tents associated?

a. when the patient is awake a. hypoxemia
b. when the patient first
arrives in the PACU
c. when the patient
becomes frightened or
agitated
d. when the patient can
be aroused and recognizes
where he or she is

5. What is included in the
routine assessment of the
patient's car- diovascular
function on admis- sion to
the PACU?

a.monitoring arterial blood
gas- es
b. ECG monitoring
c. determining fluid and
elec- trolyte status
d. direct arterial blood
pressure monitoring

6. With what are the post-op
respi- ratory complications of
atelecta- sis and aspiration of
3/
17

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