Key Points For Recovery

1.

The first ___________ minutes are the most critical of the patient entering recovery.

A.

Ten
B.

Five
C.

Twenty
D.

Thirty

Correct Answer
B. Five

Explanation
The first five minutes are the most critical of the patient entering recovery because this is the immediate post-operative period where the patient's vital signs and condition need to be closely monitored. During this time, the patient may still be under the effects of anesthesia and may experience complications or adverse reactions. Prompt intervention and assessment are crucial in ensuring the patient's stability and preventing any potential complications from worsening.

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2.

How many RN's must remain on the floor at all times (including breaks and evenings).

A.

Two
B.

One
C.

Three
D.

Four

Correct Answer
A. Two

Explanation
A minimum of two RN's must remain on the floor at all times, including breaks and evenings. This ensures that there is adequate staffing to handle any emergencies or patient needs that may arise. Having at least two RN's also allows for collaboration and support between the nurses, ensuring the best possible care for patients.

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3.

Vital signs should be monitored at an interval not to exceed every 15 minutes, until the patient has met discharge criteria. True or False?

A.

True
B.

False

Correct Answer
A. True

Explanation
Vital signs are measurements of essential body functions such as heart rate, blood pressure, and temperature. Monitoring vital signs is crucial to assess the patient's overall health and detect any potential complications. In this case, the statement suggests that vital signs should be monitored at intervals not exceeding 15 minutes until the patient meets discharge criteria. This ensures that the patient's condition is closely monitored and any changes or improvements are promptly identified. Therefore, the correct answer is true.

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4.

A patient may be discharged once "discharge criteria is met". What criteria does a patient need to meet to be discharged?Check all that apply.

A.

The patient is drowsy, SpO2 reading of 94% on 2L NC, has been out of procedure for 4 minutes, has not passed flatus and BP reading is 97/64
B.

The patient's IV is discontinued and vital signs have returned to normal and are stable
C.

Discharge instructions have been signed off by the physician, the physician has spoken to the patient (and or driver if authorized to accompany the patient in recovery) and the discharge instructions have been reviewed with the patient
D.

The patient is having difficulty swallowing s/p upper endoscopy
E.

The abdomen is soft, non tender, non distended
F.

The abdomen is hard to the touch, tender to the patient upon physical assessment and the patient has not passed flatus s/p colonoscopy.
G.

The patient suddenly has a change in their mental status.
H.

The patient is yelling they are ready to leave.

Correct Answer(s)
B. The patient's IV is discontinued and vital signs have returned to normal and are stable
C. Discharge instructions have been signed off by the pHysician, the pHysician has spoken to the patient (and or driver if authorized to accompany the patient in recovery) and the discharge instructions have been reviewed with the patient
E. The abdomen is soft, non tender, non distended

Explanation
The patient can be discharged if their IV has been discontinued and their vital signs have returned to normal and are stable. Additionally, the discharge instructions must be signed off by the physician, the physician must have spoken to the patient (and/or driver if authorized to accompany the patient in recovery), and the discharge instructions must have been reviewed with the patient. Finally, the patient's abdomen should be soft, non-tender, and non-distended.

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5.

You receive report from the anesthesia provider, the patient is still asleep. As you are accepting bedside report, the anesthesia provider hands you two connecter cables - which one should you place on the patient first?

A.

BP cable connecting to BP cuff
B.

ECG cables
C.

Pulse oximeter

Correct Answer
C. Pulse oximeter

Explanation
The pulse oximeter should be placed on the patient first because it is used to measure the patient's oxygen saturation levels and heart rate. This is important information to have before connecting the other cables, as it provides vital signs that can help assess the patient's overall condition and monitor their response to anesthesia.

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6.

You receive report on a patient in recovery that is alert, awake, verbally responsive, BP reading is 108/78, SpO2 reading is 98% on room air. Does the patient need to be connected to the oxygen source for supplemental oxygen? True or False.

A.

True
B.

False

Correct Answer
B. False

Explanation
The patient does not need to be connected to the oxygen source for supplemental oxygen because their SpO2 reading is 98% on room air, which indicates that their oxygen saturation level is within the normal range.

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7.

The guideline for a patient's blood pressure reading that is ready for discharge is determined by:

A.

Systolic over 100, diastolic over 60
B.

10% increase of their BP reading from when they were brought from procedure room to the recovery bay.
C.

Their baseline vital signs
D.

What the reading was when they presented to the admitting area for pre-op.

Correct Answer
C. Their baseline vital signs

Explanation
The correct answer is "their baseline vital signs." When determining if a patient's blood pressure reading is ready for discharge, the guideline is to compare the current reading to their baseline vital signs. This means that the patient's blood pressure should be within a normal range compared to their usual readings. This is important because it helps to ensure that the patient's blood pressure has returned to their normal levels and is stable before they are discharged.

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8.

Patient _______ is always important, especially for sedated patients that are entering recovery immediately after their procedure.

A.

Messages to the doctor
B.

Safety
C.

Nurse calls
D.

Communication

Correct Answer
B. Safety

Explanation
Safety is the correct answer because ensuring the safety of patients is crucial, particularly for sedated patients who are transitioning into the recovery phase after their procedure. This involves taking necessary precautions, implementing safety protocols, and closely monitoring the patient's condition to prevent any potential complications or risks. It is important to prioritize safety in order to provide optimal care and minimize any potential harm or adverse events during this critical period.

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9.

Recently the policy/procedure policy regarding transportation providers was modified. Patients leaving the facility with UBER and/or a TAXI are required to have an additional form filled out, with the patients signature as well as the physicians. True or False?

A.

True
B.

False

Correct Answer
A. True

Explanation
The given answer is true because the policy/procedure regarding transportation providers has been modified recently. According to the modified policy, patients leaving the facility with UBER and/or a TAXI are required to have an additional form filled out. This form should include the signatures of both the patient and the physician. Therefore, the statement is true.

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10.

Patient's being discharged by UBER or TAXI can be discharged 30 minutes after the procedure ended/patient entering recovery, if they have met discharge criteria. True or False?

A.

True
B.

False

Correct Answer
A. True

Explanation
If the patient is leaving the facility by UBER or TAXI, they can be discharged at 30 minutes if they have met discharge criteria.

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11.

Once you have accepted report from the anesthesia provider, it is also important that you verify:

A.

That the stretcher wheels are locked and the stretcher is in the lowest position
B.

The patients name and DOB
C.

How many specimens were sent to pathology
D.

That the patient is connected to the pulse oximeter, the BP cuff/monitor and oxygen (if needed)
E.

How long it took for the procedure to be completed

Correct Answer(s)
A. That the stretcher wheels are locked and the stretcher is in the lowest position
B. The patients name and DOB
D. That the patient is connected to the pulse oximeter, the BP cuff/monitor and oxygen (if needed)

Explanation
The correct answer includes three important verification steps that need to be taken after accepting a report from the anesthesia provider. Firstly, it is crucial to ensure that the stretcher wheels are locked and the stretcher is in the lowest position to ensure the safety and stability of the patient during transportation. Secondly, verifying the patient's name and date of birth is essential to ensure accurate identification and prevent any potential mix-ups or errors. Lastly, confirming that the patient is connected to the pulse oximeter, the BP cuff/monitor, and oxygen (if needed) ensures that the patient's vital signs are being monitored and any necessary support is being provided.

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