A postoperative client has just been admitted to the postanesthesia care unit (PACU). What assessment by the PACU nurse takes priority?

a. Airway
b. Bleeding
c. Breathing
d. Cardiac rhythm


ANS: A
Assessing the airway always takes priority, followed by breathing and circulation. Bleeding is part of the circulation assessment, as is cardiac rhythm.

Nursing

You might also like to view...

Which of the following is NOT a good way to fit into the crowd if you decide to go to a party and not drink?

a. Come up with a standard "No, thanks' response before heading out b. Fill your cup with something similar in color to an alcoholic beverage being served at the party c. Drink from the punch bowl because it's probably non-alcoholic d. Go earlier in the evening, before everyone who's drinking has had time to get drunk

Nursing

The school nurse knows several children with hemophilia A. After recess, one student with hemophilia comes to the school nurse complaining of pain in his knee from falling on the playground The nurse notes there is swelling in the knee and pain on palpation. The nurse should

A) administer some NSAIDs to relieve the pain. B) wrap the knee in an ace bandage for compression. C) apply some warm compresses to the knee. D) notify parents to pick up the child and possibly administer factor VIII.

Nursing

A toddler sustains a minor burn on the hand from hot coffee. What is the first action in treating this burn?

a. Apply burn ointment. b. Put ice on the burned area. c. Cover the hand with gauze dressing. d. Hold the hand under cool running water.

Nursing

A patient recovering from a fractured hip is at risk for developing deep vein thrombosis (DVT). The nurse anticipates that which treatment would be indicated for the patient at this time?

1. heparin 2. prevention 3. vena cava filter 4. massaging the affected extremity

Nursing