CH. 9 Multiple Choice

Question 1

The PACU is staffed by _______ trained in postoperative recovery and emergency treatment.

Answer 1

critical care nurses

Question 2

The PACU is close to the surgical suites for _____ transfer of patients after surgery.

Answer 2

rapid

Question 3

Drugs given during the preoperative and intraoperative phase have a direct pharmacological effect on those administered ______.

Answer 3

Postoperatively

Question 4

_________ is necessary to determine the need for further action such as transfusion.

Answer 4

Estimated blood loss

Question 5

Malignant ________ (MH) is a rare condition that results in an extremely high core body temp, cardiac dysrhythmia, tachypnea (increased respiratory rate), hypoxia, and hypercarbia.

Answer 5

hyperthermia

Question 6

A standardized method of measuring the patient’s response to external stimuli is known as

Answer 6

Glasgow coma scale (GCS)

Question 7

During surgery preparation the patient’s _______ is continually monitored.

Answer 7

Physiological status

Question 8

______ is a term used to describe a clinical scenario in which patients are prescribed many different medications.

Answer 8

Polypharmacy

Question 9

Patient _____ to home or another care facility is arranged before surgery whenever possible.

Answer 9

Transport

Question 10

______ problems are the most frequent life-threatening postoperative complication.

Answer 10

Respiratory

Question 11

Although ______ is expected in the postsurgical phase not all patients respond to pain in the same way.

Answer 11

Pain

Question 12

Pain at the operating site is another cause of ______.

Answer 12

Hypoventilation

Question 13

Discharge planning and implementation follow established rules and task according to the hospital ____.

Answer 13

Policy

Question 14

Patient teaching is the responsibility of ______ nursing personnel.

Answer 14

Trained.

Question 15

In the event of impending ______ or a rapidly deteriorating patient surgery may be terminated and the patient taken to PACU.

Answer 15

Death

Question 16

A potentially fatal syndrome hyper metabolism resulting in extremely high body temp, cardiac dysrythmia, and respiratory distress is known as _____.

Answer 16

Malignant hyperthermia

Question 17

Wound ____ and care are of primary importance during the postoperative period.

Answer 17

Assessment

Question 18

The _____ is assessed for distention or air.

Answer 18

Abdomen

Question 19

The _____staff provide continual emotional support to the patient.

Answer 19

PACU

Question 20

Both ______ and bronchospasm can be caused by particular anesthetic agents.

Answer 20

Laryngospasm

Question 21

Perfusion or oxygen saturation of the blood is measured by ____.

Answer 21

Pulse ox

Question 22

The ______ assessment is used by the PACU nurse to concentrate on a specific organ system or region of the body.

Answer 22

Focused

Question 23

Fluid shifts from the vascular space to the intracellular can occur after surgery and the patient must be _____ carefully.

Answer 23

Evaluated

Question 24

Assessments for _______ includes physical signs and symptoms.

Answer 24

Dehydration

Question 25

Patients often need reassurance and orientation to their _______ while emerging from general anesthesia or heavy sedation.

Answer 25

Environment

Question 26

Pulmonary _______ is blockage of a pulmonary vessel by air, a blood cot, or other substance.

Answer 26

Embolism

Question 27

Many anesthetic agents are cardiac irritants that can sensitize the ______ muscle to disturbances in rhythm, rate, and cardiac output.

Answer 27

heart

Question 28

Patients are informed and educated about their own care so that they can fully participate in their ________.

Answer 28

recovery

Question 29

The ____ provides specific orders for continuation of care and a smooth recovery.

Answer 29

ACP

Question 30

Partial or complete closure of the bronchial tubes is _______.

Answer 30

bronchospasm

Question 31

The estimated blood loss is needed to determine the need for further action such as _______.

Answer 31

transfusion

Question 32

The heart is monitored for the rate and rhythm using _______ leads and a cardiac monitor, which produces a digital waveform.

Answer 32

ECG

Question 33

The central ____ pressure may be measured with an inline catheter or by observing the jugular veins.

Answer 33

venous

Question 34

______ can occur during surgery or in the postoperative period.

Answer 34

Hemorrhage

Question 35

Patients and family receive referral numbers for ____ care or further information.

Answer 35

emergency

Question 36

In the event the patient has no assistance available, community resources, including ______ services and professional home nursing services must be brought in.

Answer 36

social

Question 37

Physiological objectives that are necessary to ensure patient safety outside the critical care unit are called _______.

Answer 37

discharge criteria