Question 1

Which is one of the phases of perioperative care as carried out by perianesthesia nurses?&#10;A) Preoperative phase II&#10;B) Intraoperative care phase&#10;C) Postanesthesia phase I&#10;D) Perioperative phase I

Accepted Answer

Preanesthesia phase,postanesthesia phase I,postanesthesia phase II,remote postanesthesia phase III are the four specific phases of care as identified by ASPAN.Preanesthesia phase prepares the patient for surgery and establishes the nursing diagnoses.Phase I provides immediate postoperative care from an anesthetized state to one requiring less acute intervention.Phase II prepares the patient for self-care.Phase III prepares the patient for discharge.

Question 2

Time spent in the PACU varies from patient to patient and can change with each patient.

Accepted Answer

The duration and type of postoperative observation varies according to patient condition,need for physiologic support,complexity of procedure,type of anesthetic agent used,need for pain therapy,and period of monitoring parameters.

Question 3

A patient having a surgical procedure performed in a physician's office does not need postoperative care and should be able to leave immediately after it is over.

Accepted Answer

Regardless of the surgical setting or procedure,the patient should be observed and monitored postoperatively for physiologic condition before being transferred or discharged.

Question 4

Which is one piece of equipment needed for each patient bed space in the PACU:&#10;A) Linen container&#10;B) Suction equipment&#10;C) Computer monitor for documentation&#10;D) Bedside table

Accepted Answer

Each cubicle needs a suction apparatus,cardiac monitor,pulse oximeter,blood pressure measurement device,and oxygen administration equipment.Additional supplies that are available include warming devices,airway management equipment,intravenous fluids and administration sets,dressing reinforcement materials,medications,indwelling Foley catheters and drainage systems,emesis basins,and bedpans.Lead screens and lead shielding should be available for surrounding patients and staff when x-rays are taken.

Question 5

The main focus of the PACU nurse is on:&#10;A) discharge.&#10;B) family visitation.&#10;C) circulation.&#10;D) Documentation.

Accepted Answer

To maintain the patient's physiologic processes in a safe,comfortable,and effective environment,the attention is given to circulation,oxygenation,and ventilation.

Question 6

Report to the PACU nurse is given by:&#10;A) the circulating nurse.&#10;B) the OR charge nurse&#10;C) the scrub person&#10;D) the OR scheduling office

Accepted Answer

The postoperative hand-off report provides information from the anesthesia provider (if one was in attendance),the surgeon (or appropriate designee,such as the first assistant),and the circulating nurse.

Question 7

Invasive procedures are not performed in the PACU setting.

Accepted Answer

Performing procedures in PACU is more common in facilities in which the PACU doubles as a special procedure care unit for ambulatory patients who are receiving nerve blocks for pain therapy.Some institutions allow an uncomplicated endoscopy to be performed in the PACU.The rationale behind this practice is that patients having special procedures need to be monitored by experienced personnel for a short time after a treatment or test.For some procedures the PACU nurse monitors a patient receiving intravenous conscious sedation and may assist the physician,thus depleting the staff available for postoperative care.

Question 8

What is one way a PACU nurse can assess a patient's pain level?&#10;A) Palpating the surgical incision&#10;B) Applying a TENS unit and observing the patient&#10;C) Asking the anesthesia provider whether the patient is experiencing pain&#10;D) Using the FACES scale

Accepted Answer

The adult patient is offered an opportunity to describe pain according to a numbered scale of 0 to 10.

Question 9

Which professional organization established the standards of practice for the postoperative care of patients?&#10;A) ASPAN&#10;B) AORN&#10;C) ABPANC&#10;D) CAPA

Accepted Answer

Organized in 1980,the American Society of PeriAnesthesia Nurses (ASPAN),formerly known as the American Society of Post Anesthesia Nurses,has established standards of practice for the postoperative care of diverse populations,such as pediatric,adult,and geriatric patients.ASPAN has also identified specific phases of care to be performed for surgical patients before and after a procedure.

Question 10

What is one purpose of the postoperative follow-up phone call?&#10;A) To assess patient outcomes upon discharge&#10;B) To avoid a pending lawsuit by the patient or family members&#10;C) To improve patient satisfaction scores on future surveys&#10;D) To satisfy insurance company demands for follow-up

Accepted Answer

Patient evaluation phone calls assist in identifying whether the patient care outcomes were achieved.The follow-up phone call also provides a foundation for ongoing improvement of perioperative patient care and identifies activities that may need to be modified.

Question 11

Which is an item that the circulating nurse's handoff report needs to contain?&#10;A) Address&#10;B) Insurance information&#10;C) Positioning information&#10;D) Name of scrub person

Accepted Answer

The answer of Which is an item that the circulating...

Deck 30: Postoperative Patient Care