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Students   (932 Views 7 Comments)
by Ortho_RN Ortho_RN (Member) Member

9,946 Profile Views; 1,037 Posts

OK.. We were given a take home quiz on the PACU... And there is a question that is a lil confusing... So I was wondering what ya'll thought the answer was

A nasal cannula is recommended for which type of client? A client with:

A. Stable Resp pattern

B. Requiring controlled humidity and temp

C. Rapid Resp Rate

D. Requiring accurate, consistent oxygen concentration

So what do you think??

Heres another one:

How frequently should the "unconscious" PACU patient be monitored?

A. Continously

B. Every 5 mins

C. Every 15mins

D. On a PRN basis

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meownsmile is a BSN, RN and specializes in Med/Surg, Ortho.

2,532 Posts; 10,405 Profile Views

hmm, just a guess but ,, n/c on a stable respiration patient,,, rational... you cant control O2 temp with a n/c, a rapid resp rate would warrent a rebreather to prevent patient from imbalances in Ph, and n/c cannot accurately administer concentrations of oxygen due to mouth breathing and possible nasel obstruction.

and would think q 5 min on a unconsious patient just coming off of anesthesia. Risks of bronco spasm, laryngeal spasm, or adverse reatction from anesthesia would warrent a q 5 min check.

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385 Posts; 5,735 Profile Views

I have to go with A for both questions.

A nasal cannula will not control what's listed in B&D, and it probably wouldn't do much good with rapid breathing.

I'm pretty sure if someone is "unconsious" they should be monitored ALL THE TIME, you might do VS every 5 or 10 minutes, but MONITOR, that just means WATCH them. That's my opinion anyway.

(Sandra dying with the 1 killer psych test down, and a psych drug test & psych part 2 to go) then we move onto something easy like the Endocrine system....Ugggggggggggggg

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Love-A-Nurse has 19 years experience and specializes in LTC, ER, ICU,.

3,932 Posts; 9,792 Profile Views

originally posted by studentsandra

i have to go with a for both questions.

 

a nasal cannula will not control what's listed in b&d, and it probably wouldn't do much good with rapid breathing.

 

i'm pretty sure if someone is "unconsious" they should be monitored all the time, you might do vs every 5 or 10 minutes, but monitor, that just means watch them. that's my opinion anyway.

 

(sandra dying with the 1 killer psych test down, and a psych drug test & psych part 2 to go) then we move onto something easy like the endocrine system....ugggggggggggggg

hi sandra! nice to meet you! :)

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96 Posts; 2,348 Profile Views

I have to say "A" for both as well. Our instructor just asked us a similar NCLEX style question (the PACU one) and the answer was continuous monitoring. on the n/c question the only one that doesn't require "special" equipment would be "A"

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738 Posts; 5,174 Profile Views

"A" for both....

i think

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