Postoperative Care
50 questions available
Questions
In a postanesthesia care unit (PACU), what is the primary nursing priority immediately after a patient is admitted from surgery?
View answer and explanationAccording to the standard for interval frequency of checking vital signs in the PACU, how often should a nurse assess a stable patient after the initial fifteen minutes?
View answer and explanationA patient in the PACU is experiencing postoperative nausea and vomiting (PONV). Which medication, a 5-HT3 Receptor Antagonist, is commonly used to treat this condition?
View answer and explanationWhat communication format is recommended for nurses to use during patient transfers, such as from the PACU to an inpatient surgical unit, to ensure clear and structured information exchange?
View answer and explanationWhat is the primary difference between a phase I PACU and a phase II PACU?
View answer and explanationWhich of the following is considered a nonpharmacological approach for postoperative pain management?
View answer and explanationA postoperative patient's urinary output is being monitored. What is the minimum hourly urine output that is reflective of adequate kidney perfusion?
View answer and explanationWhat is the term for the separation of the edges of a surgical wound, which can appear as a fully open wound with visible tissue underneath?
View answer and explanationA nurse is educating a postoperative patient on preventing respiratory complications. Which device's use helps prevent atelectasis and pneumonia?
View answer and explanationWhat is the primary rationale for keeping the head of the bed elevated to 30 degrees or more for a postoperative patient?
View answer and explanationWhat is the most common cause of a pulmonary embolism (PE) in a postoperative patient?
View answer and explanationWhen assessing a patient who has had prior opioid sensitivity, what is an appropriate nursing action for managing postoperative pain?
View answer and explanationWhat is the primary purpose of a patient-controlled analgesia (PCA) system in the postoperative setting?
View answer and explanationIn the context of the ABCs of PACU assessment, what does the 'C' primarily involve assessing?
View answer and explanationWhich nursing action is essential for preventing a postoperative deep vein thrombosis (DVT) according to the chapter?
View answer and explanationWhat is the term for the postoperative complication characterized by excessive nausea and vomiting associated with anesthesia administration?
View answer and explanationWhen a nurse is transferring a patient from the PACU, which member of the interdisciplinary team is primarily responsible for ordering durable medical equipment (DME) for the patient's home?
View answer and explanationWhich of the following is a classic manifestation of dehydration in a postoperative patient who is not recovering well?
View answer and explanationWhat is the primary mechanism of action for nonpharmacological pain management techniques like guided imagery and deep breathing exercises?
View answer and explanationIf a patient who underwent a laparoscopic cholecystectomy at 0700 has stable vital signs and is recovering well, what time is the earliest they could be ready for transfer from the PACU, based on the example in the text?
View answer and explanationA postoperative patient is found to have a temperature greater than 101 degrees Fahrenheit. According to the postoperative complications table, which nursing action is appropriate?
View answer and explanationWhat is the primary reason that a urinary catheter placed during surgery is generally removed within six hours postoperatively?
View answer and explanationIn the context of QSEN competencies for preventing postoperative complications, tailoring pain management according to a patient's cultural background is an example of which competency?
View answer and explanationWhat is the primary physiological reason that postoperative pain can interfere with the healing process?
View answer and explanationA postoperative patient has developed swelling, pain, warmth, and redness in one leg, along with a positive Homan's sign. According to Table 27.4, these clinical presentations are indicative of what complication?
View answer and explanationWhen managing a patient with postoperative urinary retention (POUR), what is the last resort intervention if noninvasive measures prove ineffective?
View answer and explanationWhat is the primary role of the admitting PACU nurse when a patient is transferred from the operating room?
View answer and explanationA patient is recovering from abdominal surgery and has a nasogastric tube inserted. What complication listed in Table 27.4 would this intervention help manage?
View answer and explanationWhich factor is a primary contributor to the development of postoperative deep vein thrombosis (DVT) and pulmonary embolism (PE)?
View answer and explanationIn addition to female sex and motion sickness, what is another significant risk factor for developing postoperative nausea and vomiting (PONV)?
View answer and explanationWhat type of medication is metoclopramide, which is used to treat postoperative nausea and vomiting (PONV)?
View answer and explanationA nurse is caring for a patient experiencing pain that rates as a 9 out of 10 on the pain scale. What would be an appropriate initial pain medication to administer intravenously based on the provider's orders in the case study?
View answer and explanationWhat is the primary goal of using techniques like deep breathing exercises and early ambulation in postoperative patients?
View answer and explanationWhen does the postoperative phase of patient care officially begin?
View answer and explanationWhich patient is at highest risk for postoperative wound dehiscence?
View answer and explanationWhat is the primary focus of nursing care when a patient first arrives in the Phase I PACU?
View answer and explanationWhich nursing intervention is most crucial for identifying early signs of potential respiratory complications like atelectasis in a postoperative patient?
View answer and explanationIn the ISBAR communication for the patient Kathy Johnson, what information is provided in the 'B' (Background) section?
View answer and explanationWhat is the main reason a nurse must carefully assess a patient's cultural beliefs regarding pain?
View answer and explanationWhich condition is a direct cause of postoperative urinary retention (POUR)?
View answer and explanationBased on the case study, what was the patient's heart rate in the PACU immediately following extubation and before transfer?
View answer and explanationA postoperative patient's lab results on 3/13/24 at 06:00 show a potassium (K+) level of 3.2 mEq/L. What nursing action from the case study directly addresses this finding?
View answer and explanationWhy must nurses collaborate with an interdisciplinary team, including physical therapists and dietitians, for postoperative care?
View answer and explanationWhat is the most likely reason for administering Ketorolac 30 mg IV every 6 hours to the postoperative patient in the case study?
View answer and explanationA patient experiences a cough, absent breath sounds, shortness of breath, and chest pain postoperatively. What is the priority nursing action according to Table 27.4?
View answer and explanationWhich statement best describes the role of pain assessment in postoperative care?
View answer and explanationWhat is the primary objective of providing emotional and spiritual support to postoperative patients and their families?
View answer and explanationA patient recovering from an appendectomy has a temperature of 96.0 degrees Fahrenheit post-intubation. This finding, while a single data point, could be an early indicator of what postoperative complication?
View answer and explanationWhen is it most appropriate to administer an antiemetic medication like ondansetron to a patient with several risk factors for PONV?
View answer and explanationWhat is a primary nursing action when managing a patient with a known history of severe PONV, as seen in the case study?
View answer and explanation