ABPANC Pain Management & Comfort Care 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 Pain Management & Comfort Care flashcards as text
Which comfort measure is appropriate for a post-operative patient experiencing anxiety in the PACU?
Answer: Providing calm reassurance, explanation of surroundings, and therapeutic presence
Therapeutic communication, reorientation, and reassurance are first-line interventions for post-operative anxiety in the PACU.
What nursing intervention is most helpful in reducing the incidence of post-operative nausea and vomiting (PONV) in a high-risk PACU patient?
Answer: Administering prophylactic antiemetics as ordered and minimizing opioid use when possible
Prophylactic antiemetics combined with opioid minimization through multimodal analgesia significantly reduce PONV incidence in high-risk patients.
A patient undergoing ambulatory surgery requires discharge teaching about pain management at home. Which statement indicates the patient understands their discharge instructions?
Answer: I will take my prescribed medications as directed and call my surgeon if pain is uncontrolled
Taking medications as prescribed and notifying the surgeon for uncontrolled pain indicates correct understanding of post-operative pain management discharge instructions.
Which assessment is essential before administering IV opioids for post-operative pain in the PACU?
Answer: Respiratory rate, sedation level, and oxygen saturation
Respiratory rate, sedation score, and SpO2 must be assessed before opioid administration to identify patients at risk for respiratory depression.
The concept of comfort in perianesthesia nursing includes which of the following domains?
Answer: Physical, psychospiritual, sociocultural, and environmental comfort
Kolcaba's Comfort Theory identifies physical, psychospiritual, sociocultural, and environmental domains, all relevant to holistic perianesthesia nursing care.
A post-operative patient with obstructive sleep apnea (OSA) requires IV opioids for pain management. What additional precaution should the PACU nurse implement?
Answer: Apply continuous pulse oximetry and capnography monitoring with supplemental oxygen ready
Patients with OSA are at heightened risk for opioid-induced respiratory depression and require continuous SpO2 and capnography monitoring during opioid therapy.