Exam Ch 14 Postanesthesia Recovery

______________ is necessary to determine the need for further action, such as transfusion.
a. Type of anesthesia administered
b. Surgical procedure performed
c. Estimated blood loss
d. Patient age
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______________ is necessary to determine the need for further action, such as transfusion.
a. Type of anesthesia administered
b. Surgical procedure performed
c. Estimated blood loss
d. Patient age
Estimated blood loss
Although _______ is expected in the postsurgical phase, not all patients respond to pain in the same way.
a. pain
b. neurological function
c. mental status
d. level of consciousness
pain
Assessment for _________ includes physical signs and symptoms.
a. dehydration
b. hyperthermia
c. perfusion
d. auscultation
dehydration
Pain at the operative site is another cause of ______, resulting in low oxygen saturation.
a. consciousness
b. hypoxia
c. imbalances
d. hypoventilation
hypoventilation
Malignant __________ (MH) is a rare condition that results in an extremely high core body temperature, cardiac dysrhythmia, tachypnea (increased respiratory rate), hypoxia, and hypercarbia.
a. hypoventilation
b. hypothermia
c. hyperthermia
d. hypoxia
hypothermia
Patient teaching is the responsibility of ________ nursing personnel.
a. prepared
b. ready
c. trained
d. experienced
trained
The estimated blood loss is needed to determine the need for further action, such as _______________.
a. rhythm
b. palpation
c. transfusion
d. auscultation
transfusion
_________________ can occur during surgery or in the postoperative period.
a. Hemorrhage
b. Change
c. Standards
d. Normotensive
Hemorrhage
(Matching) ANSWERS (a. Aldrete scale b. Glasgow Coma Scale)
1. Based on psychosocial and physiological criteria
2. Often used to determine whether a patient is ready for discharge from the PACU area
3. A standardized method of measuring the patient's response to external stimuli
4. Used to assess motor response to verbal commands
5. Vital signs are stable and reflect patient's baseline normal
6. Incision site is dry and drainage absent or within expected limits
7. Confirms home environment is suitable for recovering patient
1. Aldrete scale
2. Aldrete scale
3. Glasgow Coma Scale
4. Glasgow Coma Scale
5. Aldrete scale
6. Aldrete scale
7. Aldrete scale
The central ______ pressure may be measured with an inline catheter or by observing the jugular veins.
a. nervous
b. venous
c. digestion
d. tension
venous
Discharge planning and implementation follow established roles and tasks according to hospital ______. a. policy b. assessment c. focus d. ASApolicy(Matching) (a. Anesthesia provider b. PACU nurse c. Surgical patient) 1. Communicates specific orders for continuation of care and a smooth recovery 2. Performs duties in the postanesthesia care area 3. May sign out of the health care facility AMA 4. Accountable for ensuring that the family members are alerted and kept up to date 5. Informed and educated to fully participate in the recovery phase 6. Arrangements for discharge 7. ADLs often determine their quality of life1. Anesthesia provider 2. PACU nurse 3. Surgical patient 4. PACU nurse 5. Surgical patient 6. PACU nurse 7. Surgical patientPulmonary ____________ is blockage of a pulmonary vessel by air, a blood clot, or other substance (e.g., fragments of atherosclerotic plaque). a. embolism b. clotting c. dehydration d. irritationembolismIn the event of impending ________ or a rapidly deteriorating patient, surgery may be terminated and the patient taken to the PACU. a. order b. stop c. death d. dischargedeathA potentially fatal syndrome of hypermetabolism resulting in extremely high body temperature, cardiac dysrhythmia, and respiratory distress is known as __________. a. hypoventilation b. hypoxia c. hypothermia d. malignant hyperthermia (MH)malignant hyperthermia (MH)In the event the patient has no assistance available, community resources, including ______________ services and professional home nursing services, must be brought in. a. technology b. surgeon c. social d. personnelsocialThe ______ provides specific orders for continuation of care and a smooth recovery. a. NBA b. ACP c. PTA d. CPRACPPatient ________ to home or another care facility is arranged before surgery whenever possible. a. transport b. delivery c. provider d. scheduletransportThe heart is monitored for rate and rhythm using ______ leads and a cardiac monitor, which produces a digital waveform. a. EKG b. BBC c. KRG d. ECGECGMany anesthetic agents are cardiac irritants that can sensitize the _________ muscle to disturbances in rhythm, rate, and cardiac output. a. transport b. cardiac c. heart d. patient'sheart___________ problems are the most frequent life-threatening postoperative complication. a. Wound hemorrhage b. Pain management c. Respiratory d. Anesthetic agentRespiratoryPatients often need reassurance and orientation to their ________ while emerging from general anesthesia or heavy sedation. a. environment b. education c. perfusion d. hydrationenvironmentDuring surgery preparation, the patient's ____________ is continually monitored. a. code status b. nutritional status c. family support system d. physiological statusphysiological statusA standardized method of measuring the patient's response to external stimuli is known as _____________. a. patient assessment b. focus assessment c. Glasgow Coma Scale (GCS) d. head to toe assessmentGlasgow Coma Scale (GCS)Perfusion or oxygen saturation of the blood is measured by ______________. a. arterial blood gases b. pulse oximeter c. Glasgow Coma Scale d. ADLspulse oximeter__________ (hand-off) is a verbal and written report from one nurse to another to provide updated patient information. a. Hypoxia b. Handover c. Hyperoxygenation d. HypovolemiaHandoverPartial or complete closure of the bronchial tubes is ____________. a. bronchospasm b. percussion c. perfusion d. hypoxiabronchospasmThe ______ is assessed for distention (which may indicate the presence of fluid, including blood) or air. a. abdomen b. operatives c. volume d. treatmentabdomenBoth ________ and bronchospasm can be caused by particular anesthetic agents. a. laryngospasm b. perfusion c. auscultation d. arterial blood gaseslaryngospasmFluid shifts from the vascular space to the intracellular space can occur after surgery, and the patient must be _________ carefully. a. evaluated b. accelerated c. focused d. dehydratedevaluatedThe PACU is staffed by ______________ trained in postoperative recovery and emergency treatment. a. certified surgical technologists b. certified registered nurse anesthetists c. critical care nurses d. anesthesiologistscritical care nurses_____________ is a term used to describe a clinical scenario in which patients are prescribed many different medications. a. Polypharmacy b. ADL c. Discharge orders d. Care planPolypharmacyThe _______ staff provides continual emotional support to the patient. a. ICU b. PACU c. USP d. CBCPACUPatients are informed and educated about their own care so that they can fully participate in their _____________. a. recovery b. pain assessment c. social assessment d. wound assessmentrecoveryThe PACU is close to the surgical suites for _______ transfer of patients after surgery. a. lounge b. changing c. central d. rapidrapidPhysiological objectives that are necessary to ensure patient safety outside the critical care unit are called _______________. a. discharge scores b. discharge criteria c. discharge planning d. discharge signsdischarge criteriaPatients and family receive referral numbers for ______ care or further information. a. transportation b. PACU c. assistance d. emergencyemergencyDrugs given during the preoperative and intraoperative phase have a direct pharmacological effect on those administered ____________. a. by anesthesia b. postoperatively c. for pain d. by injectionpostoperativelyThe __________ assessment is used by the PACU nurse to concentrate on a specific organ system or region of the body. a. head to toe b. focused c. accepted d. fluidfocusedAspiration or inhalation of secretions or stomach contents is associated with a weak gag ______________ related to use of narcotics, sedatives, and anesthetic agents. a. level of consciousness b. cardiopulmonary status c. reflex d. mental statusreflexWound ______ and care are of primary importance during the postoperative period. a. department b. suspension c. inputs d. assessmentassessment