P1 Flashcards
What is the INITIAL priority assessment performed by the nurse when admitting a patient after abdominal surgery?
Respiratory function and airway
How should the nurse position a patient who is in a somnolent status and still under the effect of anesthesia?
Supine position with head bed slightly elevated.
When a patient has bleeding after surgery, what color is expected from the arterial source?
Bright red and spurts with the heartbeat.
During the immediate post-operative phase, what is the PRIMARY goal of the healthcare team?
Maintain ventilation.
What should the PACU nurse do if a patient develops a temperature of 39.8 degrees centigrade after abdominal surgery?
Notify the surgeon as this may indicate a post-anesthesia drug reaction.
What should a nurse do when a patient demands to call their attending physician for a pass at night?
You must really be upset to want a pass immediately. I will give you a medication to make you calm.
What foods would best meet the nutritional needs of a patient with poor appetite?
Peanut butter, sandwich, and milk.
What principle should guide the nurse in determining the appropriate intervention for a patient with manic behavior taking food from others?
Other patients need to be protected from the intrusive behavior of other patients.
What therapeutic activity would you provide to a patient with mania?
Doing ceramics and whittling.
What is the BEST response to Mrs. Lim, who wishes for her children to visit her?
Do you have their cell phones? If you want, I can call them.
What is the MOST therapeutic response of Nurse Linda to a patient afraid of undergoing a physical examination?
I will inform the physician that you are afraid to undergo the physical examination.
What is the BEST response of the nurse to a college student with asthma considering stopping classes?
You said you are thinking of stopping from attending your classes?
