A patient in surgery receives a neuromuscular blocking agent as an adjunct to general anesthesia. While in the postanesthesia care unit (PACU), what assessment finding is most important for the nurse to report?

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Perioperative Nursing Care NCLEX Questions Questions

Question 1 of 5

A patient in surgery receives a neuromuscular blocking agent as an adjunct to general anesthesia. While in the postanesthesia care unit (PACU), what assessment finding is most important for the nurse to report?

Correct Answer: C

Rationale: Weak chest wall movement,' as neuromuscular blockers can cause respiratory muscle weakness, risking hypoxemia a critical finding to report in PACU. 'Laryngospasm' (A) isn't typical with these agents. 'Nausea' (B) and 'confusion' (D) are less urgent (options missing in OCR). In nursing, respiratory depression is a top concern; C aligns with NCLEX Physiological Integrity, prioritizing airway and breathing assessment. (Note: OCR omits A, B, D assumed from context.)

Question 2 of 5

The nurse is providing care to a patient in the postanesthesia care unit (PACU) who lost a large amount of blood during a surgical procedure. Which assessment finding should the nurse monitor this patient for based on the current data?

Correct Answer: B

Rationale: Tachycardia,' as significant blood loss triggers compensatory tachycardia to maintain perfusion a key sign of hypovolemia. 'Bradypnea' (A) isn't typical. 'Hypothermia' (C) or 'hypertension' (D) may occur but aren't primary. In nursing, monitoring tachycardia guides fluid replacement; B aligns with NCLEX Perioperative, targeting circulatory response.

Question 3 of 5

The circulating nurse is assisting the anesthesiologist with patient monitoring during a surgical procedure. When documenting the administration of morphine sulfate, which terminology should the nurse use?

Correct Answer: A

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

Question 4 of 5

The nurse is conducting a medication assessment for a preoperative patient. Which action by the nurse is appropriate for the patient who is prescribed dexamethasone?

Correct Answer: C

Rationale: Assessing for hyperglycemia,' as dexamethasone, a corticosteroid, raises blood sugar, requiring preoperative glucose checks. 'ECG' (A) and 'BP' (B) aren't primary concerns. 'Tapering' (D) is physician-ordered. In nursing, monitoring steroid effects prevents complications; C aligns with NCLEX Perioperative, targeting metabolic risk assessment.

Question 5 of 5

Which laboratory test should the nurse include in the plan of care for a patient who may require a blood transfusion during the surgical procedure?

Correct Answer: B

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

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