You are the nurse caring for 82-year-old women in the PACU. The woman begins to awaken and responds to her name but is confused, restless, and agitated. What are you aware of?

Question

A) Postoperative confusion is an indication of an oxygen problem or possibly a stroke during surgery.
B) Confusion, restlessness, and agitation are normal postoperative findings and will diminish in time.
C) Postoperative confusion is common in the elderly, but it could also indicate a significant blood loss.
D) Confusion, restlessness, and agitation indicate inadequate pain management, and analgesics will help.

Answer 1

Ans: C

Feedback: Postoperative confusion is common in the elderly, but it could also indicate blood loss and the potential for hypovolemic shock and is a critical symptom for the nurse to identify. Option A is a good answer; postoperative confusion is an indication of an oxygen problem or possibly a stroke during surgery, but blood loss is more likely. Option B is incorrect; restlessness and agitation are never normal postoperative findings. Option D is incorrect; confusion, restlessness, and agitation may indicate inadequate pain management, but pain could be assessed by report of pain, splinting of the affected area, and vital signs.