Which is the priority initial assessment for a patient who is admitted to the post anesthesia care unit (PACU) after surgery with general anesthesia?
Temperature
Heart rate
Respirations
Blood pressure
The Correct Answer is C
A. Temperature: While temperature monitoring is important, hypothermia is not the most immediate concern after general anesthesia.
B. Heart rate: Although heart rate should be monitored, it is not the first priority in assessing an anesthetized patient.
C. Respirations: Airway and breathing are the top priorities in the PACU. General anesthesia can depress respiratory function, increasing the risk of airway obstruction or hypoventilation. Ensuring adequate ventilation is the first step in assessment.
D. Blood pressure: Blood pressure is important but secondary to airway and breathing in the initial assessment.
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Related Questions
Correct Answer is D
Explanation
A. Weight gain/loss. Weight changes (gain or loss) are common with antidepressants, particularly SSRIs and TCAs.
B. Dry mouth. Dry mouth is a well-known side effect of many antidepressants, especially tricyclic antidepressants (TCAs) and serotonin-norepinephrine reuptake inhibitors (SNRIs).
C. Insomnia. Many antidepressants, particularly SSRIs and SNRIs, can cause insomnia or increased energy levels.
D. Rash. A rash is not a common side effect of antidepressants. While allergic reactions can occur, they are not considered routine side effects.
Correct Answer is D
Explanation
A. The client will verbalize 3 positive attributes about themselves by day 3. This is a good long-term goal but does not directly prevent self-harm.
B. The client will perform personal hygiene with no prompting. Improved self-care is beneficial but is not the primary priority in suicide prevention.
C. The client will attend group by day 2. Participation in therapy is helpful, but ensuring physical safety takes precedence.
D. The client will remain free from injury for the duration of their hospitalization. The most critical goal for a client at risk for suicide is preventing self-harm, making this the priority outcome.
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