A registered nurse working in a PACU (post-anesthesia-care-unit) is responsible for conducting assessments on immediate post-operative clients.
What is the purpose of these assessments?
To use intra-operative data as a baseline for patient outcome comparison.
To prevent complications from anesthesia and surgery, and to monitor and stabilize the patient they are caring for post-anesthesia.
To focus on cardiovascular data and findings for future cases.
To determine and report the length of time each patient recovers from anesthesia.
The Correct Answer is B
Choice A rationale:
While comparing intra-operative data to post-operative outcomes can be valuable for research and quality improvement purposes, it's not the primary purpose of immediate post-operative assessments in the PACU.
The focus in the PACU is on the patient's immediate well-being and stabilization, not on long-term data analysis.
Choice B rationale:
Preventing complications:
Early detection of potential complications is crucial for timely intervention and prevention of adverse events.
Assessments identify changes in vital signs, respiratory status, pain levels, level of consciousness, surgical site integrity, and other indicators of potential complications.
Monitoring and stabilizing the patient:
Nurses closely monitor patients' physiological responses to anesthesia and surgery, ensuring vital signs remain within acceptable ranges and managing any deviations.
They assess pain levels and administer analgesics as needed, promote respiratory function, maintain fluid and electrolyte balance, and address any other post-operative concerns.
Choice C rationale:
While cardiovascular data is indeed crucial in the PACU, it's not the sole focus of assessments.
Nurses assess a comprehensive range of body systems to ensure overall patient stability and recovery.
Choice D rationale:
Determining recovery time is important, but it's secondary to ensuring patient safety and stability.
Assessments prioritize identifying and addressing potential complications, promoting recovery, and ensuring a safe transition from the PACU.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Socio-cultural dimension encompasses the social and cultural influences that shape an individual's health beliefs, behaviors, and experiences. It includes factors such as:
Social support systems: The mother's act of seeking support from other parents of children with asthma demonstrates her utilization of a social support system. This is a crucial aspect of the socio-cultural dimension, as strong social connections can provide emotional support, practical assistance, and access to information and resources.
Cultural norms and values: Cultural beliefs about health, illness, and coping mechanisms can influence how individuals seek help and manage their health conditions. The mother's decision to seek support from other parents may be influenced by cultural norms that value community and shared experiences.
Health disparities: Socio-cultural factors can contribute to health disparities, which are differences in health outcomes among different social groups. Understanding the socio-cultural dimension is essential for addressing these disparities and promoting health equity.
Choice B: The intellectual and spiritual dimension focuses on an individual's beliefs, values, and meaning-making processes. While these factors can influence how individuals cope with illness, they are not directly related to the mother's act of seeking support from other parents.
Choice C: The physical dimension encompasses an individual's biological makeup and physical health status. While the child's asthma is a physical condition, the mother's act of seeking support is a social behavior that falls within the socio-cultural dimension.
Choice D: The environmental dimension includes factors in the physical environment that can affect health, such as air quality, housing conditions, and access to healthcare. While these factors can play a role in asthma management, they are not directly related to the mother's decision to seek support from other parents.
Correct Answer is B
Explanation
Choice A rationale:
Total urinary incontinence is the involuntary loss of all urine from the bladder. It is not synonymous with micturition, which is a controlled process of bladder emptying.
Incontinence can stem from various factors, including neurological disorders, muscle weakness, medication side effects, and structural abnormalities.
It's essential to distinguish between incontinence and micturition for accurate diagnosis and treatment.
Choice B rationale:
Micturition, also known as urination or voiding, is the physiological process of emptying the urinary bladder. It involves a coordinated interplay between the nervous system, bladder muscles, and urethral sphincters. When the bladder fills with urine, stretch receptors signal the nervous system, prompting the urge to urinate. If conditions are appropriate, the nervous system initiates a series of events:
The detrusor muscle in the bladder wall contracts.
The internal urethral sphincter relaxes, opening the pathway for urine to flow.
The external urethral sphincter, under voluntary control, relaxes to allow urine to pass through the urethra and out of the body.
Choice C rationale:
The inability to completely empty the bladder is called urinary retention.
It can result from various causes, including obstruction (e.g., enlarged prostate, urethral stricture), neurological disorders, medications, and pelvic floor dysfunction.
Urinary retention differs from micturition, as it involves incomplete bladder emptying.
Choice D rationale:
Catheterization is the process of inserting a thin, flexible tube (catheter) into the bladder to drain urine.
It's a medical procedure performed for various reasons, such as urinary retention, bladder obstruction, or to collect urine samples.
Catheterization is not a natural process of micturition, but a medical intervention.
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