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Perioperative Nursing 5

The patient arrives in the post anesthesia care unit (PACU) & the nurse notes a respiratory rate of 10 with sternal retractions. The report from anesthesia personnel indicates that the patient received fentanyl during surgery. Match the numerical order for each of the following nursing interventions.

AB
First (1st)Maintain an open airway through positioning & suction as needed.
Second (2nd)Administer oxygen as ordered, monitoring pulse oximetry
Third (3rd)Have suction available appropriate to the patient's available airway
Fourth (4th)Closely monitor vital signs & pulse oximetry readings until the patient responds
Fifth (5th)Do not leave the patient unattended until he or she is able to respond fully
Sixth (6th)Observe for significant reversal of the anesthesia
Seventh (7th)Monitor the patient for effects of the anesthetic for at least one hour
Eighth (8th)When the patient is stable, transfer back to inpatient unit


Assistant Professor(s) of Nursing
Roseman University of Health Sciences
Henderson, NV

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