Who of the following can assume the role of the scrub nurse/assistant? (Select all that apply.)
a. RN
b. LPN
c. CST
d. Licensed nursing assistant
e. Medical transcriptionist
A, B, C
RNs, LPNs, and CSTs may assume the scrub nurse role.
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A patient was resuscitated from a cardiopulmonary arrest and is now being managed with mechanical ventilation, an intravenous amiodarone drip, an angiotensin-converting enzyme (ACE) inhibitor, and a beta-adrenergic antagonist
The patient has severe tachycardia, tachypnea, diaphoresis, temperature above 104 degrees F, frequent premature ventricular contractions, clear lung fields, normal oxygen status, and agitation and restlessness. What complication and cause does the nurse suspect? A) Septic shock from ventilator-acquired pneumonia B) Hypovolemia from cardiopulmonary arrest C) Thyrotoxic crisis from amiodarone use D) Adverse reaction to ACE inhibitor
A client reports to the nurse that last night she had difficulty falling sleep. She states she returned
home from a social evening with friends, during which she consumed several alcoholic drinks. When unable to fall sleep after half an hour in bed, she brewed herself two cups of herbal tea containing valerian. In the morning she awakened with a severe headache and blurred vision. The nurse should explain that a. valerian should be taken before use of alcohol to avoid unpleasant side effects. b. the side effects are those of "hangover" from excessive alcohol use. c. valerian may potentiate the effects of other central nervous system depressants. d. herbal teas contain several active ingredients that may produce unpleasant effects.
Which patients would the nurse identify as being at increased risk for the development of hypovolemic shock? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. A patient with systemic lupus erythematosus 2. A patient who had a myocardial infarction 3. A patient with cirrhosis, ascites, and anasarca 4. A patient who was the unrestrained front-seat passenger in a multivehicle car crash 5. Patient with ruptured abdominal aortic aneurysm
The main concern with the use of potassium-sparing diuretics is the development of ________, especially in patients who are also taking ACEIs, ARBs, or potassium supplements.
A. hyperkalemia B. thrombosis C. thrombocytopenia D. hirsutism