ATI LPN
Perioperative Care Questions Quizlet Questions
Question 1 of 5
A patient with breast cancer is scheduled for a left mastectomy. The patient has informed the surgeon and nurse that she is a Jehovah's Witness and does not want any blood transfusions. In preparation for intraoperative care of this patient, what measures does the nurse take? (Select all that apply.)
Correct Answer: B
Rationale: The nurse informs the provider of the no-transfusion request and ensures an autotransfusion device , respecting the Jehovah's Witness belief. Obtaining blood or emergency orders contradicts the patient's wishes. The rationale centers on autonomy: honoring religious preferences is legally and ethically mandated. Autotransfusion recycles the patient's blood, avoiding donor transfusions, while provider notification ensures team alignment. Nursing advocates for patient rights, balancing safety with beliefs, distinct from overriding consent.
Question 2 of 5
What is the primary purpose of a PACU?
Correct Answer: B
Rationale: The PACU's primary purpose is ongoing evaluation and stabilization , ensuring post-anesthesia recovery. Orders , length of stay , and sedation arousal are secondary. The rationale emphasizes critical care: PACU monitors vital signs, airway, and complications (e.g., bleeding), stabilizing patients post-surgery. Nursing's vigilance prevents deterioration, aligning with its recovery focus, distinct from administrative or sedation-specific goals.
Question 3 of 5
A patient arrives at the PACU and the nurse notes a respiratory rate of 10 with sternal retractions. The report from anesthesia personnel indicates that the patient had received fentanyl during surgery. What is the nurse's best priority first action?
Correct Answer: D
Rationale: The priority is maintaining an open airway due to fentanyl's respiratory depression (rate 10, retractions). Monitoring (choice B, C) and waiting delay intervention. The rationale follows ABCs: opioids suppress breathing, risking hypoxia; positioning or suction clears obstruction. Nursing acts immediately, then oxygenates , reversing compromise, critical for survival, distinct from passive observation.
Question 4 of 5
The PACU nurse is assessing an older adult postoperative patient for pain. Which nonverbal manifestations by the patient suggest pain to the nurse? (Select all that apply.)
Correct Answer: A
Rationale: Pain manifestations in older adults include restlessness , sweating , and increased BP (choice E, not listed). Arousal difficulty and confusion may reflect sedation. The rationale addresses nonverbal cues: pain causes agitation, diaphoresis, and hypertension, common in less communicative patients. Nursing interprets these, adjusting analgesia, distinct from anesthesia effects, ensuring comfort.
Question 5 of 5
The nurse is preparing to discharge a patient from the ambulatory surgery center following an inguinal hernia repair. The nurse delays the release of the patient upon discovering that the patient:
Correct Answer: C
Rationale: Has not voided since before surgery,' as inability to void may indicate retention, requiring monitoring unlike 'morphine' (A), manageable, '92% saturation' (B), borderline, or 'vomiting' (D), resolving. In nursing, voiding ensures recovery; C aligns with NCLEX Perioperative, prioritizing physiologic stability for discharge.