Certified Ambulatory Perianesthesia Nurse (CAPA) Practice Exam

Question: 1 / 400

What are the immediate nursing actions if a patient exhibits hypoxia in the PACU?

Administer fluids and reposition the patient

Administer oxygen and assess airway for obstruction

When a patient exhibits hypoxia in the Post-Anesthesia Care Unit (PACU), the priority nursing actions focus on ensuring adequate oxygenation and maintaining a patent airway. Administering oxygen helps to quickly address the deficiency of oxygen in the blood, which is crucial for preventing further deterioration of the patient's condition. Assessing the airway for any obstruction is equally important because hypoxia may be a result of airway compromise, due to factors such as tongue displacement, secretions, or other anatomical reasons that could hinder airflow.

By prioritizing these actions, the nurse can stabilize the patient’s condition effectively. Ensuring that the patient receives supplemental oxygen can quickly improve oxygen saturation levels, while assessing the airway allows for immediate interventions if an obstruction is found. This systematic approach addresses the critical factors that contribute to hypoxia, aligning with the best practices for patient safety and care in the PACU setting.

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Notify the physician and start CPR

Monitor vital signs and document findings

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