Which interventions must the operating room (OR) nurses provide for patient physiological integrity during the intraoperative period? (Select all that apply.)

Correct Answer: C

Rationale: OR nurses ensure physiological integrity by monitoring airway, vital signs, ECG, and oxygen saturation , applying padding , and assessing skin . Communicating fears is preoperative. The rationale focuses on real-time safety: monitoring detects hypoxia or dysrhythmias, padding prevents pressure injuries, and skin checks document baseline status. These actions maintain homeostasis during anesthesia, aligning with nursing's vigilance, contrasting with emotional support tasks better suited pre-surgery.

Correct Answer: D

Rationale: The postoperative period begins with completion of surgery and transfer to the PACU , marking recovery onset. Arousal in OR , preoperative planning , and closure are earlier. The rationale defines timing: postoperative care starts post-procedure, focusing on stabilization in PACU, distinct from intraoperative or preoperative phases. Nursing shifts to monitoring and intervention, ensuring smooth transition, critical for recovery initiation.

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.

Correct Answer: C

Rationale: Passing flatus or stool best indicates peristalsis resumption. Bowel sounds , hunger , and cramping are less definitive. The rationale focuses on function: flatus/stool confirm GI motility post-anesthesia, unlike sounds (early, inconsistent) or subjective signs. Nursing monitors this, ensuring recovery, critical for diet advancement, distinct from preliminary indicators.

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.