Pacu assessment test - Study guides, Class notes & Summaries

While completing a health assessment for a young adult female with acute appendicitis, the client informs the nurse that there is a chance that she may be pregnant. The operating team is preparing to take the client to surgery. Which intervention should the nurse implement immediately? (Ans- Perform a bedside pregnancy test. A client is admitted to the medical unit during an exacerbation of systemic lupus erythematosus (SLE). It is most important to report which assessment finding to the heal...

Relias PACU RN A v1 Relias EXAM TEST QUESTIONS AND ANSWERS (2023/2024) (VERIFIED ANSWERS) What assessment finding indicates that a patient is ready to tolerate ice chips? - CORRECT ANSWER Patient is able to cough After day surgery, the patient is awake, reports 2 out of 10 pain, denies nausea, has voided, has stable vital signs, but has yet to receive discharge instructions. What level of care should this patient receive? - CORRECT ANSWER Phase 2 Reversal of Midazolam - CORREC...

MERGERED HESI RN MEDSURG EXAMS 2022/2023 ACTUAL EXAMS LATEST UPDATE HESI RN NEW MED SURG EXAM 2022 -MULTIPLE QUESTIONS -QUESTIONS&ANSWERS -55 QUESTIONS -TESTED 2022 1.The client who experiences angina has been told to follow a low cholesterol diet. Which of the following meals would be best? 1. Hamburger, salad, and milkshake. 2. Baked liver, green beans, and coffee. 3. Spaghetti with tomato sauce, salad, and coffee. 4. Fried chicken, green beans, and skim milk. 2. The nurse s...

CAPA Test Bank Exam Questions with Answers Form . Cardiac dysrhythmias - correct answer A patient with a history of drug abuse and nasal ulcers is received in the PACU. The perianesthesia nurse monitors this patient closely for: A. Cardiac dysrhythmias B. Apnea C. Postural hypotension D. Somnolence D. Delay instructions until a certified interpreter can be located - correct answer A Spanish-speaking patient arrives for a pre-operative admission interview accompanied by a bilingual compa...

Fundamentals CMS Midterm Terms in this set (200) A nurse is assessing the heart sounds of a client who has developed chest pain that becomes worse with inspiration. The nurse auscultates a high- pitched scratching sound during both systole and diastole with the diaphragm of the stethoscope positioned at the left sternal border. Which of the following heart sounds should the nurse document? A. Audible Click B. Murmur C. Third heart sound D. Pericardial friction rub A nurse is obtaining ...

NCLEX Exam Challenge Exam 6 (Iggy Text) Questions With Correct Answers 2024 A+ The nurse provides health teaching for a client receiving estrogen therapy. Which statement by the client indicates a need for further teaching? a. "I need to check my blood pressure frequently when taking this drug." b. "I will call my doctor if I have any redness or swelling in my legs." c. "I will drink extra fluids because this drug will cause me to urinate a lot." d. "I will eat more oranges and b...

ATI PEDS PROCTORED RETAKE GUIDE- 2019/2020/2021 • A nurse is caring for a child during a tonic-clonic seizure. Which of the following actions should the nurse take? SATA • Clear the areas of hard objects • Firmly hold the child’s arms to one side • Place a pillow under the childs head • Insert a tongue blade into the childs mouth • Loosen tight clothing around the childs neck. • • A nurse is preparing to perform a venipuncture to collect a blood sample from an infant. ...

RN on a MS. Which of the following clients needs will the nurse assign to an AP? : Reapplying a condom catheter for a client who has urinary incontinence RN delegating the ambulation of a client who had knee arthroplasty . Which of the following info should the nurse share with the AP? : client ambulates with his slippers on over his antiembolic stockings client uses a front wheeled walker when ambulating client had pain meds 30 minutes ago RN is making assignments. Which of the followin...

The nurse is irrigating an acid chemical burn on a client's arm. Which would indicate to the nurse that irrigation can be stopped? 1. Client's pain rating has decreased from 6 to 2 on a 0 to 10 pain scale. 2. The pH value of the runoff solution is 7.0. 3. Client reports a burning sensation in the affected arm. 4. Capillary refill is less than 2 seconds in the affected arm. - 2. Correct: A pH of 7 is nonacidic, so the solution's pH indicates that the acid chemical has been removed 1. Inco...

A patient is admitted to the postanesthesia care unit (PACU) after colon surgery. During the initial assessment, the patient tells the nurse they are going to "throw up." Which statement by the nurse reflects a priority nursing intervention? 1 "I need to check your vital signs." 2 "Let me help you turn to your side." 3 "Here is a sip of ginger-ale for you." 4 "I can give you some antinausea medicine." Correct2 If the patient is nauseated and may vomit, place the patient in a ...