CAPA Phase I & Phase II Recovery Care 2

Question 1

A patient in Phase I PACU has a SpO2 of 88% on 2L nasal cannula. What is the most appropriate immediate intervention?

Accepted Answer

Increase oxygen flow rate and reposition the airway

Answer

Initial management of hypoxemia includes increasing supplemental oxygen and optimizing airway positioning before escalating to pharmacologic reversal.

Question 2

Which Aldrete score component specifically assesses a patient's ability to breathe deeply and cough freely?

Accepted Answer

Respiration

Answer

The Respiration component of the Aldrete score evaluates the patient's ability to breathe deeply and cough effectively.

Question 3

A patient emerges from general anesthesia with a temperature of 35.1°C (95.2°F). Which intervention is the priority?

Accepted Answer

Apply active warming measures such as forced-air warming blankets

Answer

Active external warming with forced-air warming blankets is the most effective and immediate intervention for postoperative hypothermia.

Question 4

During Phase II recovery, a patient reports persistent nausea after two doses of ondansetron. What is the most appropriate next step?

Accepted Answer

Switch to an antiemetic from a different drug class such as promethazine or droperidol

Answer

When a single antiemetic class fails, using an agent from a different class targets different receptor pathways for better PONV control.

Question 5

What is the minimum urine output considered acceptable before discharging a patient home from Phase II PACU?

Accepted Answer

Voiding is not a universal discharge requirement for all patients

Answer

Current evidence-based guidelines do not mandate voiding as a universal discharge criterion unless the patient had spinal anesthesia or a procedure with high urinary retention risk.

(CAPA) Certified Ambulatory Perianesthesia Nurse Practice Test

(CAPA) Certified Ambulatory Perianesthesia Nurse Practice Test

CAPA Phase I & Phase II Recovery Care 2