The student nurse does an operating room rotation and notes that many patients receive succinylcholine (Anectine). The student nurse asks the nursing instructor how the drug works. What is the best response by the nursing instructor?
1. "It causes the patient to rapidly lose consciousness."
2. "It increases cardiac output by raising the heart rate."
3. "It interferes with impulse transmission, resulting in total anesthesia from the pain of surgery."
4. "It reduces the amount of general anesthetic needed for procedures."
4
Rationale 1: The patient does not lose consciousness and is wide awake.
Rationale 2: Heart rate is not increased.
Rationale 3: The changes to impulse transmission do not result in pain control or anesthesia.
Rationale 4: Succinylcholine (Anectine) does decrease the amount of general anesthetic needed.
Global Rationale: Succinylcholine (Anectine) does decrease the amount of general anesthetic needed. The patient does not lose consciousness and is wide awake. Heart rate is not increased. The changes to impulse transmission do not result in pain control or anesthesia.
You might also like to view...
A 72-year-old woman with a recent onset of syncopal episodes has been referred to a cardiologist by her family physician
As part of the client's diagnostic workup, the cardiologist has ordered her to wear a Holter monitor for 24 hours. Which of the following statements best captures an aspect of Holter monitoring? A) A Holter monitor is preferable to standard ECG due to its increased sensitivity to cardiac electrical activity. B) The primary goal is to allow the cardiologist to accurately diagnose cardiomyopathies. C) Accurate interpretation of the results requires correlating the findings with activity that the woman was doing at the time of recording. D) Holter monitors are normally set to record electrical activity of the heart at least once per hour.
The nurse is developing outcome measurements to evaluate genetics-based care. Which outcomes should be included?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Is the client satisfied with care and services? 2. Did the client refer other clients to the clinic's services? 3. Does the client report that coping skills regarding genetic risks have improved? 4. Is the client's knowledge base about the specific illness, risk factors, and interventions improved? 5. Does the client report greater skill in decision making regarding the specific illness?
When assessing a woman in her first trimester, which emotional response would the nurse most likely expect to find?
A) Ambivalence B) Introversion C) Acceptance D) Emotional lability
The nurse is identifying care goals for a client who is prone to getting hurt. Which care goal should the nurse select for this client?
1. Assess the client's mental status. 2. Keep the client dependent on the staff for all care. 3. Make all choices for the client. 4. Remain free from injury.