CNOR Operating Room Nursing

Category - Transfer

The patient is transferred from the operating room to the PACU and upon initial assessment, tells the nurse, “I feel like I’m going to throw up.” Which of the following is the most appropriate response from the nurse?
  1. “Take some deep breaths and close your eyes.”
  2. “I’m going to turn you on your side now.”
  3. “Here is an emesis basin if you need one.”
  4. “That is a common feeling. It will go away soon.”
Explanation
Answer: B-The nurse should respond by saying, “I’m going to turn you on your side now.” This action is appropriate for a patient who can turn: if they vomit, they will avoid aspirating stomach contents. The nurse should respond quickly to patient statements of nausea or vomiting. Vomiting stomach contents could lead to aspiration into the lungs and breathing difficulties.
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