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 C
Explanation
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.
Correct Answer is D
Explanation
A. "Check your oxygen equipment once each week.": Oxygen equipment should be checked daily for proper function and leaks, not just weekly.
B. "Use wool blankets on your bed.": Wool and synthetic fabrics generate static electricity, which can ignite oxygen. Cotton blankets should be used instead.
C. "Store unused oxygen tanks horizontally.": Oxygen tanks should always be stored upright and secured to prevent tipping over.
D. "Do not adjust the oxygen flow rate.": Clients should not change the oxygen flow rate unless instructed by the provider, as improper adjustments can cause oxygen toxicity or hypoxia.
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