Certified Ambulatory Perianesthesia Nurse (CAPA) Practice Exam

What is an important sign the perianesthesia nurse should monitor for in the early phase of recovery regarding airway management?

1. Swallowing reflex

2. Oxygen saturation levels

3. Breath sounds

4. Capillary refill time

The correct answer is: Swallowing reflex

Monitoring the swallowing reflex is crucial in the early phase of recovery for airway management. This reflex indicates the patient's ability to protect their airway, which is essential following anesthesia. A strong swallowing reflex demonstrates that the patient can safely manage secretions and respond to the presence of fluids in the mouth, reducing the risk of aspiration. Ensuring that a patient retains this reflex is fundamental for airway safety as they regain consciousness and start recovering from anesthesia. While oxygen saturation levels, breath sounds, and capillary refill time are also important indicators to assess in post-anesthesia recovery, they serve slightly different purposes. Oxygen saturation levels provide insight into the patient's ventilation and oxygenation status, breath sounds help to evaluate pulmonary function, and capillary refill time assesses circulation and cardiovascular status. Each of these parameters is critical for overall patient assessment but does not specifically indicate the patient's capability to maintain an open and protected airway as effectively as monitoring the swallowing reflex.