A patient arrives in the PACU. Which action does the nurse perform first?

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Perioperative Care Practice Questions Quizlet Questions

Question 1 of 5

A patient arrives in the PACU. Which action does the nurse perform first?

Correct Answer: A

Rationale: The nurse first assesses airway and gas exchange , per ABCs. Pain rating , positioning , and PCA follow. The rationale prioritizes survival: post-anesthesia, airway obstruction or hypoxia (e.g., from sedation) is immediate risk. Nursing ensures breathing before addressing comfort or meds, aligning with critical care principles, distinct from secondary tasks.

Question 2 of 5

While in the PACU, the patient's blood pressure drops from an admission pressure of 126/82 to 106/78 with a pulse change of 70 to 94. The nurse administers oxygen and then:

Correct Answer: A

Rationale: Increases the rate of the IV fluids,' as the BP drop and pulse rise suggest hypovolemia, treatable with fluids unlike 'notify provider' (B), premature, 'neurovascular checks' (C), unrelated, or 'cardiac monitor' (D), secondary. In nursing, fluid bolus stabilizes circulation; A aligns with NCLEX Perioperative, prioritizing volume restoration.

Question 3 of 5

Deep breathing is an important pre-operative teaching area. Which one of the following would be included in your teaching for the pre-operative patient?

Correct Answer: B

Rationale: Preoperative teaching includes deep breathing for 3 seconds, repeated 15 times twice daily . Five seconds, 15 times or 5 times is less standard; 10 seconds is excessive. The rationale supports prevention: 3-second holds with frequent repetition expand lungs, reducing atelectasis risk post-anesthesia, per nursing protocols. This balances efficacy and feasibility, contrasting with longer or fewer reps, preparing patients for respiratory health.

Question 4 of 5

When using bipolar delivery of electrical current, the nurse should remember that.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

You are assisting the pediatric orthopedic surgeon in the application of a Spica cast. You take special care to diminish pressure to the fibular head because valgus molding here can cause:

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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