unit1 preop-postop 9q Flashcards
The PACU is multifaceted and involves 5-
● Monitoring the patients physiological status
● Intervening to ensure uneventful recovery from anesthesia and surgery
● Providing safe environment for the patient experiencing limitations in physical, mental,
and emotional function
● Preventing or promptly treating complications in the immediate post-anesthesia period
● Upholding the patient’s rights to dignity, privacy, and confidentiality
The Hand-off Report-
● Two-way verbal interaction
● Report between two health care professionals is required to communicate the patients
condition and needs
● Done to ensure SAFETY to patients
The Verbal Report should include- 6
● Patient height and weight
● Name of the surgical procedure the patient had
● Patients relevant health history
● Anesthetic agents and other drugs that were administered to patient
● Patients estimated blood loss during surgery
● Patients fluid status and IV therapy
The most critical, high-priority
assessment to be done with the patient
Airway
Which TWO assessments are your next
priorities?
Pulse
BP
The pt is a smoker, he has
increased risk associated with surgery and
anesthesia. You are aware that smoking can
be responsible for which of the following in
the immediate postoperative period? (Select
all that apply)
A. Dehydration
B. Difficulty in clearing secretions
C. Cardiac dysrhythmias
D. Increased drowsiness
B. Difficulty in clearing secretions
C. Cardiac dysrhythmias
Why is it important to measure arterial oxygen saturation (SpO2) levels in
PACU?
Levels indicate how much oxygen is
available for use by tissues
SpO2 of 97%, what
intervention is indicated?
A. Continue to monitor SpO2
B. Increase oxygen to 100%
C. Increase liter flow to 15 liters per minute
D. Remove Mr. Potter from the ventilator
A. Continue to monitor SpO2
Low body
temperature. These include which of the
following? (Select all that apply)
A. Surgical wound infection
B. The anesthetics Mr. Potter received
C. The environmental temperature in the OR
D. Mr. Potter’s preoperative skin prep
E. The common use of cooled irrigation
solutions during surgery
B. The anesthetics Mr. Potter received
C. The environmental temperature in the OR
D. Mr. Potter’s preoperative skin prep
Reason for ice pack
Prevent inflammation and swelling of the
scrotum
The opiate antagonist ____________
should be readily available in PACU should
reversal of respiratory depression be
necessary.
naloxone hydrochloride
You palpate Mr. Potter’s lower abdomen
and notes suprapubic distention. This is
most likely a result of:
A. Bleeding
B. A distended urinary bladder
C. Tension in abdominal muscles
D. Inflammation secondary to surgical
manipulation
B. A distended urinary bladder
a sitting position
on the side of the PACU bed and allows
him to dangle his feet for ten minutes. This
will help prevent _____________
A. Orthostatic hypotension
B. Orthostatic hypertension
C. Orthostatic paresis
D. Orthostatic paralysis
A. Orthostatic hypotension
Before discharge what instruction needs to be given
A. Report an elevated temperature
B. Monitor and protect his operative site
C. Avoid strenuous activity
E. Continue deep breathing exercises
F. Let someone else drive him home
G. Continue ice packs at home
Smoking can be responsible for the following in the immediate postoperative period-
● Difficulty in clearing secretions
● Cardiac dysrhythmias
