Which nursing action is completed during phase III of post anesthesia care?
Discharge teaching
Recovery from anesthesia
Urinary catheterization if no voiding
Vital signs every 15 to 30 minutes
The Correct Answer is A
A. Discharge teaching: Phase III of post-anesthesia care focuses on preparing the patient for discharge, including teaching about post-operative care, medication instructions, and follow-up care.
B. Recovery from anesthesia: This occurs in Phase I, where patients are closely monitored as they emerge from anesthesia and regain protective reflexes.
C. Urinary catheterization if no voiding: This may be considered in Phase II, especially if urinary retention is present, but is not a defining activity of Phase III.
D. Vital signs every 15 to 30 minutes: Frequent monitoring of vital signs is a key part of Phase I, when patients are at the highest risk for complications.
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Related Questions
Correct Answer is D
Explanation
A. The client has a pleasant affect: "Affect" refers to outward emotional expression, whereas "mood" is the client's internal emotional state.
B. The client appears happy with an elevated mood: The nurse should document objective data rather than interpreting the client’s emotions.
C. The client self-isolated today: While self-isolation may indicate mood disturbances, it does not directly document the client’s reported mood.
D. The client rates their mood 4 out of 10: This entry reflects the client’s subjective report using a measurable scale, making it the most accurate documentation.
Correct Answer is D
Explanation
A. SOAPIE. This format expands on SOAP (adding Intervention and Evaluation), but SOAP is the core problem-oriented format.
B. ODAR. This is not a recognized problem-oriented charting method.
C. OPIE. This is not a standard documentation method.
D. SOAP. SOAP stands for Subjective, Objective, Assessment, and Plan, and is a commonly used method in problem-oriented medical records.
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