The perianesthesia nurse completes a systematic and comprehensive secondary assessment of the patient (e.g.,head-to-toe assessment or major body systems' approach).Select the responses that best reflect the parameters of a comprehensive respiratory assessment.

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Some PACUs use a head-to-toe assessment to organize the data obtained.Other PACUs take a major body systems' approach.In any case,the PACU nurse assesses admitting vital signs and the ABCs,beginning with the respiratory system.Respiratory assessment comprises rate,rhythm,auscultation of breath sounds for ventilatory adequacy,and oxygen saturation level.Any artificial airway and the type of oxygen delivery system are noted.

The Perianesthesia Nurse Completes a Systematic and Comprehensive Secondary Assessment