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

Answer and Explanation

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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Correct Answer is C

Explanation

A. Postpartum depression: Postpartum depression occurs after childbirth, not before menstruation.

B. Bipolar disorder: Bipolar disorder involves mood swings between mania and depression that are not tied to the menstrual cycle.

C. Premenstrual dysphoric disorder (PMDD): PMDD is a severe form of premenstrual syndrome (PMS) characterized by significant mood disturbances, such as depression, irritability, and anxiety, occurring in the luteal phase (one week before menstruation).

D. Cyclothymic disorder: Cyclothymic disorder is a chronic mood disorder involving frequent mood fluctuations but is not related to the menstrual cycle.

A. Weight gain/loss B. Dry mouth C. Insomnia D. Rash

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.

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Which is the priority initial assessment for a patient who is admitted to the post anesthesia care unit (PACU) after surgery with general anesthesia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is exhibiting a depressed mood one week before the start of their menstrual cycle. The nurse should identify that the client is exhibiting manifestations consistent with which of the following disorders?

Correct Answer is C

Explanation

Which of the following is not a common side effect of antidepressant medications?

Correct Answer is D

Explanation

Which is the priority initial assessment for a patient who is admitted to the post anesthesia care unit (PACU) after surgery with general anesthesia?

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