Author Question: The postanesthesia care unit (PACU) nurse transports the inpatient surgical patient to the ... (Read 59 times)

sammy · **on:** Jul 22, 2018

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. The first action in a head-to-toe assessment is vital signs.
b. This is done to compare and monitor for vital sign variation during transport.
c. This is done to ensure that the medical-surgical nurse checks on the postoperative patient.
d. This is done to follow hospital policy and procedure for care of the surgical patient.

Question 2

A client in her first trimester of pregnancy asks the nurse about how the baby is growing. Which of the following responses by the nurse is correct?

a. The organ systems are beginning to develop.
b. Fingers and toes are differentiated clearly.
c. The sex of the baby can be determined.
d. Fine hair covers the body.

vickyvicksss · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
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. Before leaving the medical-surgical unit, the PACU nurse waits while the medical-surgical nurse obtains a complete set of vital signs to compare with PACU findings. Minor vital sign variations normally occur after the patient is transported. Vital signs may or may not be the first action in a head-to-toe assessment. Following policy or ascertaining that the floor nurse checks on the patient is not a reason to obtain vital signs.

Answer to Question 2

A
During the first trimester of pregnancy, the organ systems are beginning to develop.
During the second trimester of pregnancy, fingers and toes are differentiated.
During the second trimester of pregnancy, the sex of the fetus can be determined.
During the second trimester of pregnancy, fine hair, called lanugo, covers most of the body of the fetus.