ABPANC Anesthesia Recovery & Phase Management Flashcards
6 cards from real ABPANC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 ABPANC Anesthesia Recovery & Phase Management flashcards as text
Which criterion is required before a patient can be safely discharged from Phase II perianesthesia care to home?
Answer: Presence of a responsible adult to accompany them home
A responsible adult escort is required for discharge home from Phase II to ensure patient safety during transport and initial home recovery.
What is the purpose of the Modified Aldrete Score in the PACU setting?
Answer: To objectively assess readiness for discharge from Phase I recovery
The Modified Aldrete Score provides an objective, standardized tool to assess when a patient is ready to progress from Phase I PACU care.
A patient recovering from general anesthesia becomes agitated and attempts to remove their IV. What is the most appropriate initial nursing intervention?
Answer: Reorient the patient, ensure safety, and assess for underlying causes such as pain or hypoxia
Emergence agitation requires reorientation and assessment for reversible causes like pain, hypoxia, or urinary retention before any pharmacologic or physical intervention.
During Phase I PACU recovery, which finding requires the most immediate nursing intervention?
Answer: Respiratory rate of 6 breaths per minute with shallow effort
A respiratory rate of 6 breaths per minute with shallow effort indicates significant respiratory depression requiring immediate stimulation and possible reversal agent administration.
Which agent is used to reverse opioid-induced respiratory depression in the PACU?
Answer: Naloxone (Narcan)
Naloxone is a pure opioid antagonist that reverses opioid-induced respiratory depression by competing at mu-opioid receptors.
What nursing documentation is essential upon patient admission to the PACU from the operating room?
Answer: Anesthesia intraoperative record, surgeon's report, medications given, patient allergies, and baseline vital signs
A complete handoff including anesthesia record, surgical report, intraoperative medications, allergies, and current vital signs is essential for safe PACU admission.