A. monitors for return of the swallowing reflex - Answer-In the initial care for a supine patient with
laryngeal mask airway LMA in place, the perianesthesia nurse:
A. monitors for return of the swallowing reflex
B. deflates the cuff
C. suctions the oropharynx frequently
D. removes the oral airway
D. auscultating the chest bilaterally - Answer-Upon arrival to the PACU, the perianesthesia nurse assess
the correct placement of the endotracheal tube by:
A. evaluating the respiratory effort
B. checking the cuff inflations
C. measuring residual tidal volume
D. auscultating the chest bilaterally
C. large body mass hinders breathing and movement - Answer-A patient with a BMI of 42 is admitted to
the phase I PACU with noisy respirations. The perianesthesia nurse is aware that:
, A. left ventricular hypertrophy increases the cardiac workload
B. adipose tissue can cause chest wall stiffness
C. large body mass hinders breathing and movement
D. the patient has three or more times normal oxygen capacity
B. administer O2 at 3L/min via nasal cannula - Answer-A patient with a history of COPD, hypertension,
alcoholism, and mitral valve regurgitation arrived in the PACU following surgery with spinal anesthesia.
Vital signs are BP 190/120, HR 120, RR 18, and SpO2 80%. The perianesthesia nurse's first action is to:
A. check the patient's capillary blood sugar
B. administer O2 at 3L/min via nasal cannula
C. apply O2 via mask at 10L/min
D. prepare the patient for intubation
D. a decrease in breath sounds - Answer-The perianesthesia nurse is aware that one of the earliest
physical assessment findings in tension pneumothorax is:
A. generalized cyanosis
B. a deviated point of maximal intensity (PMI)
C. laryngeal stridor
D. a decrease in breath sounds
B. proper hydration with intraoperative IV fluids - Answer-The perianesthesia nurse considers which of
the following therapeutic interventions to be the most important for the prevention of postoperative
nausea and vomiting?
A. successful treatment of hypertension
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