1. The postanesthesia care unit (PACU) nurse transports the inpatient surgical patient to the medical-surgical

floor. Before leaving the floor, the medical-surgical nurse obtains a complete set of vital signs. What is the

rationale for this nursing action?

a. This is done to complete the first action in a head-to-toe assessment.

Thisis done to compare and monitor for vital sign variation during

b. transport.

Thisis done to ensure that the medical-surgical nurse checks on the

c. postoperative patient.

Thisis done to follow hospital policy and procedure for care of the

d. surgical patient.

ANS: B

Before the PACU nurse leaves the acute care area, the staff nurse assuming care for the patient takes a

complete set of vital signs to compare with PACU findings. Minor vital sign variations normally occur after

transporting the patient. The PACU nurse reviews the patient’s information with the medical-surgical nurse,

including the surgical and PACU course, physician orders, and the patient’s condition. While vital signs may or

may not be the first action in a head-to-toe assessment, this is not the rationale for this situation. While

following policy or ascertaining that the floor nurse checks on the patient are good reasons for safe care, they

are not the best rationale for obtaining vital signs.

2. The nurse is caring for a patient who will undergo a removal of a lung lobe. Which level of care will the

patient require immediately post procedure?

a. Acute care—medical-surgical unit

b. Acute care—intensive care unit

c. Ambulatory surgery

d. Ambulatory surgery—extended stay

ANS: B

Patients undergoing extensive surgery and requiring anesthesia of long duration recover slowly. If a patient is

undergoing major surgery such as a procedure on the lung, a stay in the hospital and specifically in the

intensive care unit is required to monitor for potential risks to well-being. This patient would require more care

than can be provided on a medical-surgical unit. It is not appropriate for this type of patient to go home after

the procedure or to stay in an extended stay area of an ambulatory surgery area because of the complexity and

associated risks.

3. The nurse is caring for a group of patients. Which patient will the nurse see first?

a. A patient who had cataract surgery is coughing.

A patient who had vascular repair of the right leg is not doing right leg

b. exercises.

A patient after knee surgery is wearing intermittent pneumatic

c. compression devices and receiving heparin.

If you need a professional to complete your college homework at a small fee, then reach out to