Exam 1 - PACU (Nursing 2) Questions & Answers With Verified Tests 100% Correct Answers

Upon admission, the pt must be: - ️️placed on/with EKG, pulse ox, BP cuff, and oxygen When a pt arrives in PACU, the ___ gives report. - ️️CRNA/Anesth. When a pt is admitted to the PACU, what are the priority interventions the RN performs? A. assess surgical site, noting presence and character of drainage B. assess the amount of urine output and the presence of the bladder distention C. assess for airway patency and quality of respirations, and obtain VS D. review results of intraoperative lab values and medications received - ️️Airway After admission to the PACU, which assessment requires the most immediate attention? A. O2 85% B. Resp rate 13/min C. Temp 100.4 F D. BP 90/60 - ️️O2 Assessing cardio status: - ️️EKG monitoring, VS q15m, peripheral vascular assessment Assessing neurology: - ️️LOC, orientation, sensory/motor status, pupil equality/size The main info that's helpful in assessing a patient is knowing their: - ️️baseline vitals/labs A pt in PACU should be voiding at least: - ️️30 mL/hr When a pt is waking, their first sense to return is: - ️️hearing You should orient the pt waking up by: - ️️explaining the surgery is over, location of pt, family/friend is notified, RN's name Phase 1: - ️️Intense monitoring, preparing pt for d/c or inpatient unitPhase 2: - ️️Preparing pt for Phase III, home, or rehab facility Phase 3: - ️️Preparing pt for self care, observation, rehab Fast tracking: - ️️Pt admitted to PACU after local or regional anesthesia