After the surgery, the patient is transferred to the PACU. Functions of the nurse in the PACU are to
observe the amount of drainage from the surgical site.
assist the patient to maintain a patent airway.
keep the family posted on the patient's condition.
maintain safety for the patient while unconscious.
stimulate the patient to hasten return of consciousness.
Correct Answer : B,D
A. Observe the amount of drainage from the surgical site. While the nurse in the PACU should monitor for complications, the primary focus is on the patient’s immediate recovery, such as airway management and vital signs. Drainage is important but is usually addressed once the patient is stable.
B. Assist the patient to maintain a patent airway. The primary role in the PACU is to monitor and maintain the patient’s airway. Ensuring that the patient is breathing properly is the most critical priority immediately postoperatively.
C. Keep the family posted on the patient's condition. While family communication is important, it is not the primary function of the nurse in the PACU, as the focus should be on monitoring the patient’s immediate condition post-surgery.
D. Maintain safety for the patient while unconscious. The nurse in the PACU must ensure that the patient is safe while unconscious, including monitoring for complications from anesthesia and ensuring that the patient’s vital signs remain stable.
E. Stimulate the patient to hasten return of consciousness. While it is important to help the patient regain consciousness, this should be done gently. The nurse should not aggressively stimulate the patient, as anesthesia will wear off naturally over time.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. To relieve pain or complication without caring: This definition does not align with the meaning of "autologous." It is not related to relieving pain or complications.
B. Voluntary: "Voluntary" refers to an action taken by choice, but this is not the definition of "autologous."
C. Own, originating within an individual: "Autologous" refers to something that originates from the same individual. For example, autologous blood donation means the patient donates their own blood for later use.
D. Artificial body part: An artificial body part refers to a prosthesis, not something autologous. Autologous refers to the self, such as autologous tissue or stem cells.
Correct Answer is A
Explanation
A. Start with small sips of water at first to see if they are retained. Starting with small sips allows the digestive system to adjust gradually, reducing the risk of nausea, vomiting, or complications from overconsumption after surgery.
B. Wait until his liquid diet tray arrives at mealtime. The patient is eager to try fluids, and waiting for the full meal tray may unnecessarily delay the process of reintroducing fluids.
C. Take in a variety of fluids totaling 3000mls/day. The patient should not be expected to consume a large volume of fluid right away; fluid intake should be gradually increased as tolerated.
D. Go ahead and drink all the water he wants. Allowing the patient to drink freely can overwhelm the digestive system and may cause complications, such as nausea or vomiting.
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