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POSTOPERATIVE NURSING MANAGEMENT THE PACU EXAM 2 QUESTIONS AND CORRECT ANSWERS
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POSTOPERATIVE NURSING MANAGEMENTTHE PACU EXAM 2 QUESTIONS AND
CORRECT ANSWERS
What are the three phases of recuperation that take place in the PACU? -
ANSWER 1)During the immediate healing phase, extensive nursing care is
administered. 2) Less intense care: the patient is ready for self-care in the PACU
or transferred to an inpatient or outpatient unit. 3) intended care/observation
unit: the patient is ready for release.
What specific information does the OR nurse provide to the PACU nurse? -
ANSWER overall tolerance, type of surgery, anaesthetics, outcomes,
complications, and I&Os.
What should the nurse remember about the patient's psychological balance in
the PACU? - ANSWER: Speak calmly, orient, create a quiet environment, align
your body, explain, and remember that hearing is the last to go.
What are the PACU nurse's primary concerns when the patient arrives from the
OR? - ANSWER evaluation: VS, respiratory status, colour, fluid intake,
specialized equipment, dressing. Positioning the head to the side or lateral.
What respiratory functions is the nurse accountable for overseeing? - ANSWER
airway until the gag reflex is normal. Position, suction, cough/deep breathing,
O2, mechanical assistance, monitor breath sounds, and avoid aspirations.
What aspects of fluid status does the PACU nurse monitor? - ANSWER blood
loss, IV rate, outputs, bladder distention, electrolytes, hydration, drainage type,
NG tube, and N&V.
What assessment does the nurse make of the incisional site? - ANSWER
drainage, which records drain outflow.
When can the client leave the PACU? - ANSWER VS ok, awake, dressings
fine, airway clear.
, What are the signs of a pulmonary embolism after surgery? - ANSWER: Chest
pain, dyspnea, increased respiratory rate, tachycardia, increased anxiety,
diaphoresis, decreased orientation, decreased blood pressure, blood gas
alterations.
What are urinary-related post-operative complications? - ANSWER urinary
retention, inability to void 8-10 hours after surgery, palpable bladder, frequent
little amounts of voiding, pain in the suprapubic area.
What are the signs of hypovolemic shock after surgery? - ANSWER: Lower
urine, lower blood pressure, weak pulse, cool and clammy skin, restlessness,
increased bleeding, increased thirst, and lower CVP.
What are the indications of atelectasis postoperatively? - ANSWER dyspnea,
tachypnea, decreased breathing sounds, asymmetrical chest movement,
tachycardia, and increased restlessness.
What are the indicators of pneumonia after surgery? - ANSWER: fast, shallow
breathing, fever, wet breath sounds, asymmetrical chest motions, productive
cough, hypoxia, tachycardia, leukocytosis.
What are the indicators of infection after surgery? - The answer is redness.
Purulent discharge, fever, tachycardia, and leukocytosis.
What does "dehiscence" mean? - ANSWER: separation of incision.
What exactly does "evisceration" mean? - ANSWER: Evidence of bowel
through incision. Increase pain level.
What is gastric dilation? - ANSWER: Nausea, vomiting, and distention.
What is a paralytic ileus after surgery? - ANSWER: Lessen bowel noises, no
stool or flatus, nausea, vomiting, abdominal distention, and discomfort.
When can you remove the oral airway? - Answer when the gag reflex returns.
What are the possible airway problems of surgery? - ANSWER hypoxemia:
decreased 02 levels in the blood caused by actelectasis (the most common cause
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