Certified Nurses Operating Room (CNOR) Practice Exam

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How often should vital signs be monitored in the PACU?

Every 30 minutes

Every 15 minutes or as per facility protocol

Monitoring vital signs in the Post Anesthesia Care Unit (PACU) is crucial for patient safety and recovery assessment after surgery. The recommendation to check vital signs every 15 minutes, or as dictated by facility protocol, reflects best practices in clinical care. This frequency allows for timely detection of any potential complications such as respiratory distress, hypotension, or changes in heart rate, which can occur as the patient emerges from anesthesia.

The first few critical moments after surgery are when patients are at the highest risk for adverse events, and frequent monitoring ensures that any necessary interventions can be initiated promptly. Moreover, adherence to facility protocols can encompass variations based on specific surgical procedures, patient conditions, or the anesthesia used, ensuring that the monitoring is tailored to individual needs.

The other options suggest either longer intervals between assessments which may not adequately capture changes in the patient's status, or intervals that are too frequent, which may lead to unnecessary disruptions during the recovery process. Therefore, the recommended standard of every 15 minutes aligns with established guidelines for post-operative care in most healthcare facilities.

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