The use of potent local anesthetics in toxic doses can lead to adverse effects in the central nervous system. These effects include nervousness, excitation, tremors, and convulsions. Which of the following is the most likely reason for these effects?
A. Stimulation of the cerebral cortex
B. Hypersensitivity to the local anesthetics
C. Depression of the activity of the cerebral cortex
D. None of the above
Answer: A
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The nurse is preparing to document that an older patient is experiencing nocturnal myoclonus. What assessment finding is consistent with this documentation?
A) Five leg jerks or movements per hour of sleep B) Any number of leg jerks related to the use of antidepressants C) Five leg jerks brought on by an epileptic seizure during a night's sleep D) Leg jerks in combination with episodes of breathing cessation during sleep
The spouse of an older adult with Alzheimer's disease tells the nurse that he has been giving the patient Amphogel (aluminum hydroxide) for heartburn. What is the nurse's best action?
a. Ask the spouse how often the patient is taking the Amphogel. b. Suggest that the patient be given AlternaGEL instead. c. Teach the spouse that taking this drug can worsen the patient's condition. d. Remind the spouse that giving this drug often can interfere with bowel function.
During the assessment of a patient with a suspected cardiac tamponade, the nurse should monitor for the development of: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Pulsus paradoxus 2. Muffled heart sounds 3. Hypotension 4. Flat jugular veins
A nurse assess that a 3-day-old neonate who was born at 34 weeks' gestation has abdominal distention and vomiting. These assessment findings are most likely related to:
A) Respiratory Distress Syndrome (RSD) B) Bronchopulmonary Dysplasia (BPD) C) Periventricular Hemorrhage (PVH) D) Necrotizing Enterocolitis (NEC)