Deck 14: Postanesthesia Recovery

Question 1

A standardized method of measuring the patient's response to external stimuli is known as _____________.

A) patient assessment
B) focus assessment
C) Glasgow Coma Scale (GCS)
D) head to toe assessment

Answer 1

C

Question 2

___________ problems are the most frequent life-threatening postoperative complication.

A) Wound hemorrhage
B) Pain management
C) Respiratory
D) Anesthetic agent

Answer 2

C

Question 3

Discharge planning and implementation follow established roles and tasks according to hospital ______.

A) policy
B) assessment
C) focus
D) ASA

Answer 3

A

Question 4

Patient ________ to home or another care facility is arranged before surgery whenever possible.

A) transport
B) delivery
C) provider
D) schedule

Question 5

Wound ______ and care are of primary importance during the postoperative period.

A) department
B) suspension
C) inputs
D) assessment

Question 6

Malignant __________ (MH) is a rare condition that results in an extremely high core body temperature, cardiac dysrhythmia, tachypnea (increased respiratory rate), hypoxia, and hypercarbia.

A) hypoventilation
B) hypothermia
C) hyperthermia
D) hypoxia

Question 7

In the event of impending ________ or a rapidly deteriorating patient, surgery may be terminated and the patient taken to the PACU.

A) order
B) stop
C) death
D) discharge

Question 8

Drugs given during the preoperative and intraoperative phase have a direct pharmacological effect on those administered ____________.

A) by anesthesia
B) postoperatively
C) for pain
D) by injection

Question 9

A potentially fatal syndrome of hypermetabolism resulting in extremely high body temperature, cardiac dysrhythmia, and respiratory distress is known as __________.

A) hypoventilation
B) hypoxia
C) hypothermia
D) malignant hyperthermia (MH)

Question 10

_____________ is a term used to describe a clinical scenario in which patients are prescribed many different medications.

A) Polypharmacy
B) ADL
C) Discharge orders
D) Care plan

Question 11

The ______ is assessed for distention (which may indicate the presence of fluid, including blood) or air.

A) abdomen
B) operatives
C) volume
D) treatment

Question 12

______________ is necessary to determine the need for further action, such as transfusion.

A) Type of anesthesia administered
B) Surgical procedure performed
C) Estimated blood loss
D) Patient age

Question 13

Although _______ is expected in the postsurgical phase, not all patients respond to pain in the same way.

A) pain
B) neurological function
C) mental status
D) level of consciousness

Question 14

The _______ staff provides continual emotional support to the patient.

A) ICU
B) PACU
C) USP
D) CBC

Question 15

Pain at the operative site is another cause of ______, resulting in low oxygen saturation.

A) consciousness
B) hypoxia
C) imbalances
D) hypoventilation

Question 16

The PACU is staffed by ______________ trained in postoperative recovery and emergency treatment.

A) certified surgical technologists
B) certified registered nurse anesthetists
C) critical care nurses
D) anesthesiologists

Question 17

During surgery preparation, the patient's ____________ is continually monitored.

A) code status
B) nutritional status
C) family support system
D) physiological status

Question 18

The PACU is close to the surgical suites for _______ transfer of patients after surgery.

A) lounge
B) changing
C) central
D) rapid

Question 19

Both ________ and bronchospasm can be caused by particular anesthetic agents.

A) laryngospasm
B) perfusion
C) auscultation
D) arterial blood gases

Question 20

Patient teaching is the responsibility of ________ nursing personnel.

A) prepared
B) ready
C) trained
D) experienced

Question 21

Partial or complete closure of the bronchial tubes is ____________.

A) bronchospasm
B) percussion
C) perfusion
D) hypoxia

Question 22

_________________ can occur during surgery or in the postoperative period.

A) Hemorrhage
B) Change
C) Standards
D) Normotensive

Question 23

The heart is monitored for rate and rhythm using ______ leads and a cardiac monitor, which produces a digital waveform.

A) EKG
B) BBC
C) KRG
D) ECG

Question 24

Many anesthetic agents are cardiac irritants that can sensitize the _________ muscle to disturbances in rhythm, rate, and cardiac output.

A) transport
B) cardiac
C) heart
D) patient's

Question 25

Assessment for _________ includes physical signs and symptoms.

A) dehydration
B) hyperthermia
C) perfusion
D) auscultation

Question 26

The central ______ pressure may be measured with an inline catheter or by observing the jugular veins.

A) nervous
B) venous
C) digestion
D) tension

Question 27

The __________ assessment is used by the PACU nurse to concentrate on a specific organ system or region of the body.

A) head to toe
B) focused
C) accepted
D) fluid

Question 28

Patients and family receive referral numbers for ______ care or further information.

A) transportation
B) PACU
C) assistance
D) emergency

Question 29

The estimated blood loss is needed to determine the need for further action, such as _______________.

A) rhythm
B) palpation
C) transfusion
D) auscultation

Question 30

Physiological objectives that are necessary to ensure patient safety outside the critical care unit are called _______________.

A) discharge scores
B) discharge criteria
C) discharge planning
D) discharge signs

Question 31

Fluid shifts from the vascular space to the intracellular space can occur after surgery, and the patient must be _________ carefully.

A) evaluated
B) accelerated
C) focused
D) dehydrated

Question 32

Patients often need reassurance and orientation to their ________ while emerging from general anesthesia or heavy sedation.

A) environment
B) education
C) perfusion
D) hydration

Question 33

Pulmonary ____________ is blockage of a pulmonary vessel by air, a blood clot, or other substance (e.g., fragments of atherosclerotic plaque).

A) embolism
B) clotting
C) dehydration
D) irritation

Question 34

The ______ provides specific orders for continuation of care and a smooth recovery.

A) NBA
B) ACP
C) PTA
D) CPR

Question 35

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Anesthesia provider
b.PACU nurse
c.Surgical patient
Communicates specific orders for continuation of care and a smooth recovery

Question 36

Perfusion or oxygen saturation of the blood is measured by ______________.

A) arterial blood gases
B) pulse oximeter
C) Glasgow Coma Scale
D) ADLs

Question 37

Patients are informed and educated about their own care so that they can fully participate in their _____________.

A) recovery
B) pain assessment
C) social assessment
D) wound assessment

Question 38

In the event the patient has no assistance available, community resources, including ______________ services and professional home nursing services, must be brought in.

A) technology
B) surgeon
C) social
D) personnel

Question 39

__________ (hand-off) is a verbal and written report from one nurse to another to provide updated patient information.

A) Hypoxia
B) Handover
C) Hyperoxygenation
D) Hypovolemia

Question 40

Aspiration or inhalation of secretions or stomach contents is associated with a weak gag ______________ related to use of narcotics, sedatives, and anesthetic agents.

A) level of consciousness
B) cardiopulmonary status
C) reflex
D) mental status

Question 41

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Anesthesia provider
b.PACU nurse
c.Surgical patient
Informed and educated to fully participate in the recovery phase

Question 42

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Glasgow Coma Scale
b.Aldrete scale
Vital signs are stable and reflect patient's baseline normal

Question 43

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Anesthesia provider
b.PACU nurse
c.Surgical patient
Accountable for ensuring that the family members are alerted and kept up to date

Question 44

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Glasgow Coma Scale
b.Aldrete scale
Often used to determine whether a patient is ready for discharge from the PACU area

Question 45

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Anesthesia provider
b.PACU nurse
c.Surgical patient
ADLs often determine their quality of life

Question 46

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Anesthesia provider
b.PACU nurse
c.Surgical patient
Arrangements for discharge

Question 47

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Glasgow Coma Scale
b.Aldrete scale
A standardized method of measuring the patient's response to external stimuli

Question 48

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Anesthesia provider
b.PACU nurse
c.Surgical patient
Performs duties in the postanesthesia care area

Question 49

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Glasgow Coma Scale
b.Aldrete scale
Confirms home environment is suitable for recovering patient

Question 50

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Anesthesia provider
b.PACU nurse
c.Surgical patient
May sign out of the health care facility AMA

Question 51

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Glasgow Coma Scale
b.Aldrete scale
Incision site is dry and drainage absent or within expected limits

Question 52

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Glasgow Coma Scale
b.Aldrete scale
Based on psychosocial and physiological criteria

Question 53

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Glasgow Coma Scale
b.Aldrete scale
Used to assess motor response to verbal commands