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Nurs 309, Ch 16 Post op Questions With Complete Solutions.pdf 100% correct
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Nurs 309, Ch 16 Post op Questions With Complete Solutions1. Which description illustrates the beginning of the postoperative period?: -
Correct answer Completion of surgical procedure and transfer of the pt to the
PACU
2. What is the primary purpose of the PACU?: Correct answer Ongoing
critical evaluation andstabilization of the patient
3. A pt develops respiratory distress after having a total left hip replacement.
The pt develops labored breathing, and spo2 is 83% on 2L via nasal cannula.
Which intervention is appropriate for the nurse to delegate to a UAP?:
Correct answer Checkpt vital signs
4. Which statement describes phase 1 of care?: Correct answer Phase 1 care
occurs immediate-ly after surgery, most often in PACU
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,5. The pt is recovering in PACU environment that advances the pt quickly from
phase 1 care level to phase 3, preparing for discharge to home. What type of
surgery is this pt most likely having?: Correct answer Same-day surgery
6. Which signs and symptoms are considered post- op complications? SATA-
Correct answer
: PE, Hypothermia, Wound evisceration, Postoperative ileus
7. If a pt experiences a wound dehiscense, which description best character-
izes what is happening to the wound?: Correct answer a partial or complete
separation of outerlayers is present at incision site
8. A pt who is 2 days post-op for abd surgery states, " i coughed and heard
something pop". the nurse immediate assessment reveals an opened incision
with the intestines protruding. Which statement apply to this clinical situa-
tion?: Correct answer This is an emergency
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, The wound must be kept moist with NS-soaked sterile dressings
Incisional evisceration has occurred
A NG tube may be ordered to decompress stomach
9. In the PACU the nurse assesses that a pt is bleeding profusely from an
abdominal incision. What is the nurses best first action?: Correct answer
Apply pressure towound dressing
10. Which members of the surgical team usually accompany post-op pt to the
PACU?: Correct answer Anesthesia provider and circulating nurse
11. The nurse transfers a pt to the PACU........ Using SBAR which information
should be included in the assessment?: Correct answer BP 80/47, HR 117, RR
28, SPO2 93%,temp 101.3,Jackson pratt drain with 70ml cream colored output
12. A post-op pt in the PACU has an open reduction internal fixation of left
fractured femur. Vital signs are BP 87/49,HR 100 sinus rhythm, rr 22, temp 98.3,
3/6
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