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ATI LPN · Medical Surgical Nursing · Perioperative Care Practice Questions Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nursing instructor is discussing postoperative care with a group of nursing students. A student nurse asks, 'Why does the patient go to the PACU instead of just going straight up to the postsurgical unit?' What is the nursing instructor's best response?

A. The PACU allows the patient to recover from anesthesia in a stimulating environment to facilitate awakening and reorientation.
B. The PACU allows the patient to recover from the effects of anesthesia, and the patient stays in the PACU until he or she is oriented, has stable vital signs, and is without complications.
C. Frequently, patients are placed in the medical-surgical unit to recover, but hospitals are usually short of beds, and the PACU is an excellent place to triage patients.
D. Patients remain in the PACU for a predetermined time because the surgeon will often need to reinforce or alter the patient's incision in the hours following surgery.

Expert Explanatory Rationale

Correct Answer: The PACU allows the patient to recover from the effects of anesthesia, and the patient stays in the PACU until he or she is oriented, has stable vital signs, and is without complications.

Question 2 of 5

The nurse is assessing an adult patient following a motor vehicle accident. The nurse observes that the patient has an increased use of accessory muscles and is complaining of chest pain and shortness of breath. The nurse should recognize the possibility of what condition?

A. Pneumothorax
B. Anxiety
C. Acute bronchitis
D. Aspiration

Expert Explanatory Rationale

Correct Answer: Pneumothorax

Question 3 of 5

A Cushing's forceps is a/an instrument in Neurosurgery

A. Approximation
B. Accessory
C. Clamping
D. Cutting

Expert Explanatory Rationale

Correct Answer: Clamping

Question 4 of 5

As a perioperative nurse, you know that the National Patient Safety Goals have the potential to improve patient outcomes in a wide variety of health care settings. Which of these Goals has the most direct relevance to the OR?

A. Improve safety related to medication use
B. Reduce the risk of patient harm resulting from falls
C. Reduce the incidence of health care-associated infections
D. Reduce the risk of fires

Expert Explanatory Rationale

Correct Answer: Reduce the risk of fires

Question 5 of 5

Which laboratory test should the postanesthesia care nurse monitor closely for a patient who is prescribed warfarin in the treatment of atrial fibrillation?

A. Serum glucose
B. Serum potassium
C. Prothrombin (PT) time
D. Blood urea nitrogen (BUN)

Expert Explanatory Rationale

Correct Answer: Prothrombin (PT) time

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