You are the recovery room nurse who is admitting a patient from the OR. What is the first assessment you would make on a newly admitted patient?
A) Heart rate
B) Nail perfusion
C) Core temperature
D) Patency of the airway
Ans: D
Feedback: The primary objective in the immediate postoperative period is to maintain ventilation and, thus, prevent hypoxemia (reduced oxygen in the blood) and hypercapnia (excess carbon dioxide in the blood). Both can occur if the airway is obstructed and ventilation is reduced (hypoventilation). This assessment is followed by cardiovascular status and the condition of the surgical site. Nail perfusion is part of the cardiovascular status. The core temperature would be assessed after the airway, cardiovascular status, and wound.
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