CH. 9 Multiple Choice Flashcards
The PACU is staffed by _______ trained in postoperative recovery and emergency treatment.
critical care nurses
The PACU is close to the surgical suites for _____ transfer of patients after surgery.
rapid
Drugs given during the preoperative and intraoperative phase have a direct pharmacological effect on those administered ______.
Postoperatively
_________ is necessary to determine the need for further action such as transfusion.
Estimated blood loss
Malignant ________ (MH) is a rare condition that results in an extremely high core body temp, cardiac dysrhythmia, tachypnea (increased respiratory rate), hypoxia, and hypercarbia.
hyperthermia
A standardized method of measuring the patient’s response to external stimuli is known as
Glasgow coma scale (GCS)
During surgery preparation the patient’s _______ is continually monitored.
Physiological status
______ is a term used to describe a clinical scenario in which patients are prescribed many different medications.
Polypharmacy
Patient _____ to home or another care facility is arranged before surgery whenever possible.
Transport
______ problems are the most frequent life-threatening postoperative complication.
Respiratory
Although ______ is expected in the postsurgical phase not all patients respond to pain in the same way.
Pain
Pain at the operating site is another cause of ______.
Hypoventilation
Discharge planning and implementation follow established rules and task according to the hospital ____.
Policy
Patient teaching is the responsibility of ______ nursing personnel.
Trained.
In the event of impending ______ or a rapidly deteriorating patient surgery may be terminated and the patient taken to PACU.
Death
A potentially fatal syndrome hyper metabolism resulting in extremely high body temp, cardiac dysrythmia, and respiratory distress is known as _____.
Malignant hyperthermia
Wound ____ and care are of primary importance during the postoperative period.
Assessment
The _____ is assessed for distention or air.
Abdomen
The _____staff provide continual emotional support to the patient.
PACU
Both ______ and bronchospasm can be caused by particular anesthetic agents.
Laryngospasm
Perfusion or oxygen saturation of the blood is measured by ____.
Pulse ox
The ______ assessment is used by the PACU nurse to concentrate on a specific organ system or region of the body.
Focused
Fluid shifts from the vascular space to the intracellular can occur after surgery and the patient must be _____ carefully.
Evaluated
Assessments for _______ includes physical signs and symptoms.
Dehydration
Patients often need reassurance and orientation to their _______ while emerging from general anesthesia or heavy sedation.
Environment
Pulmonary _______ is blockage of a pulmonary vessel by air, a blood cot, or other substance.
Embolism
Many anesthetic agents are cardiac irritants that can sensitize the ______ muscle to disturbances in rhythm, rate, and cardiac output.
heart
Patients are informed and educated about their own care so that they can fully participate in their ________.
recovery
The ____ provides specific orders for continuation of care and a smooth recovery.
ACP
Partial or complete closure of the bronchial tubes is _______.
bronchospasm
The estimated blood loss is needed to determine the need for further action such as _______.
transfusion
The heart is monitored for the rate and rhythm using _______ leads and a cardiac monitor, which produces a digital waveform.
ECG
The central ____ pressure may be measured with an inline catheter or by observing the jugular veins.
venous
______ can occur during surgery or in the postoperative period.
Hemorrhage
Patients and family receive referral numbers for ____ care or further information.
emergency
In the event the patient has no assistance available, community resources, including ______ services and professional home nursing services must be brought in.
social
Physiological objectives that are necessary to ensure patient safety outside the critical care unit are called _______.
discharge criteria
