CAPA Evidence-Based Practice in PACU 5

Question 1

When translating evidence-based research into PACU policy, which barrier most commonly impedes implementation?

Accepted Answer

Staff resistance and lack of time for protocol education

Answer

Staff resistance and insufficient time for education and training are the most frequently cited barriers to EBP implementation in clinical settings.

Question 2

Evidence supports which approach to postoperative respiratory monitoring in patients who received neuraxial opioids?

Accepted Answer

Continuous pulse oximetry monitoring for at least 12–24 hours

Answer

Neuraxial opioids carry delayed respiratory depression risk, requiring continuous pulse oximetry monitoring for 12–24 hours per evidence-based guidelines.

Question 3

A PACU team wants to evaluate whether their new EBP-based PONV protocol improved patient outcomes. Which method best measures program effectiveness?

Accepted Answer

Comparing pre- and post-implementation PONV incidence rates

Answer

Comparing pre- and post-implementation outcome data (PONV incidence) directly measures clinical effectiveness of the EBP change.

Question 4

Evidence-based practice in ambulatory PACU recommends which approach for patients with obstructive sleep apnea (OSA) receiving opioids?

Accepted Answer

Enhanced monitoring with continuous pulse oximetry and CPAP availability

Answer

Evidence supports heightened vigilance with continuous pulse oximetry and access to CPAP for OSA patients receiving opioids due to increased respiratory risk.

Question 5

Which principle of evidence-based practice ensures that patient values are incorporated alongside research evidence in clinical decision-making?

Accepted Answer

Shared decision-making

Answer

Shared decision-making integrates patient preferences and values with clinical expertise and best evidence as a core EBP principle.

(CAPA) Certified Ambulatory Perianesthesia Nurse Practice Test

(CAPA) Certified Ambulatory Perianesthesia Nurse Practice Test

CAPA Evidence-Based Practice in PACU 5