The PACU nurse is assessing a patient transferred in from the OR. Which assessment findings apply to assessment of the cardiovascular system? (Select all that apply.)

Correct Answer: B

Rationale: Cardiovascular findings include absent dorsalis pedis pulse and normal sinus rhythm . Eye opening is neurologic; Foley is renal. The rationale ties to circulation: pulse assesses peripheral flow, rhythm cardiac function. Nursing monitors post-op for vascular compromise (e.g., clot), distinct from neuro or urinary data, ensuring circulatory integrity.

Correct Answer: D

Rationale: Check the patient's oxygen saturation with pulse oximetry,' as restlessness may indicate hypoxia, a priority to assess unlike 'lateral position' (A), 'orientation' (B), or 'pain meds' (C), which follow ABCs. In nursing, oxygenation drives initial action; D aligns with NCLEX Perioperative, ensuring airway and breathing assessment first.

Correct Answer: D

Rationale: The correct splinting method is holding one hand gently over the incision and breathing deeply before coughing . Medium pressure lacks specificity; strong pressure risks damage; interlacing is impractical. The rationale explains technique: gentle support stabilizes the incision, reducing dehiscence risk during coughing's strain, while deep breathing aids lung expansion. Nursing teaches this, ensuring comfort and safety, distinct from excessive force or awkward positioning, promoting healing.

Correct Answer: C

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

Correct Answer: B

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