Which nursing action is completed during phase III of post anesthesia care?

Discharge teaching

Recovery from anesthesia

Urinary catheterization if no voiding

Vital signs every 15 to 30 minutes

Answer and Explanation

The Correct Answer is A

A. Discharge teaching: Phase III of post-anesthesia care focuses on preparing the patient for discharge, including teaching about post-operative care, medication instructions, and follow-up care.

B. Recovery from anesthesia: This occurs in Phase I, where patients are closely monitored as they emerge from anesthesia and regain protective reflexes.

C. Urinary catheterization if no voiding: This may be considered in Phase II, especially if urinary retention is present, but is not a defining activity of Phase III.

D. Vital signs every 15 to 30 minutes: Frequent monitoring of vital signs is a key part of Phase I, when patients are at the highest risk for complications.

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Correct Answer is B

Explanation

A. Severe feelings of restlessness. This describes akathisia, a different extrapyramidal side effect of antipsychotics.

B. Permanent involuntary movements of the face, tongue, and extremities. Tardive dyskinesia is characterized by repetitive, involuntary movements, often affecting the mouth, face, and limbs, and is a long-term side effect of antipsychotic medications.

C. Muscle rigidity and spasms. This describes dystonia, another extrapyramidal symptom, but not tardive dyskinesia.

D. Symptoms that resemble Parkinson's disease. This describes drug-induced parkinsonism, which involves tremors, bradykinesia, and rigidity, not the repetitive movements seen in tardive dyskinesia.

A. Restricts the client's ability to eat, speak, or drink B. Delivers a low concentration of oxygen C. Delivers a constant rate of a specific concentration of oxygen D. Delivers a high concentration of oxygen

Correct Answer is B

Explanation

A. Restricts the client's ability to eat, speak, or drink: Unlike a mask, a nasal cannula allows the client to eat, drink, and speak freely.

B. Delivers a low concentration of oxygen: A nasal cannula delivers a low oxygen concentration (24%-44%) at flow rates of 1-6 L/min.

C. Delivers a constant rate of a specific concentration of oxygen: Oxygen concentration varies depending on the client's breathing pattern with a nasal cannula, making it not a fixed concentration delivery system.

D. Delivers a high concentration of oxygen: High-flow oxygen delivery systems like a non-rebreather mask or Venturi mask are needed for high oxygen concentrations.

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Which nursing action is completed during phase III of post anesthesia care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a characteristic of tardive dyskinesia?

Correct Answer is B

Explanation

A nurse is caring for a client who is receiving oxygen therapy via a nasal cannula. The nurse explains to the client that this method of oxygen delivery does which of the following?

Correct Answer is B

Explanation

Which client statement is evidence of the etiology of major depressive disorder from a genetic perspective?

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What information does the nurse teach the patient regarding NPO status before a surgical procedure?

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