The client who has received ketamine hydrochloride during a surgical procedure has all of the following manifestations and behaviors. Which one alerts the nurse to a dissociative reaction?
A. Hypoventilation and decreased oxygen saturation
B. Presence of hives on the skin around the IV site
C. Crying because the pain at the surgical site has increased
D. Pulling out the IV because he sees bugs in the solution bag
D
Ketamine hydrochloride induces dissociative reactions such as hallucinations, distorted images, and irrational behavior during emergence from the anesthesia.
You might also like to view...
A patient being treated for major depression is the CEO of her own business. She has shown significant improvement and is about to be discharged after completing a course of 15 electroconvulsive therapy sessions
She will continue on SSRI medications. The patient has been counseled not to make a major business decision for a month. The rationale for this is that: a. SSRIs may cause confusion in susceptible persons. b. ECT often causes temporary memory impairment. c. Lingering depression makes the patient incompetent. d. The patient needs months to readjust to work pressures.
A disaster team is planning strategies to use in the event of multiple catastrophes
Various questions are posed such as, "If we lost all electricity in Kent County, what challenges would we face in providing care? If the Grand River flooded, which institutions would not be available for health care? What other facilities could be used as a backup system? Which roadways would be available in the event of a flood?" This is an example of which of the following decision-making strategies? a. Creativity techniques b. Decision trees c. Simulated trial and error d. Worst case scenarios
Which nursing actions can prevent or detect common side effects of epidural anesthesia? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Preloading the patient with a rapid infusion of IV fluids 2. Continuing the patient on p.o. fluids only to prevent hypotension 3. Monitoring the FHR for late deceleration and decrease in rate 4. Using intermittent FHR monitoring so the patient can use the birthing ball 5. Keeping the patient NPO after receiving the epidural
Describe some of the concerns that patients have before undergoing surgery.
What will be an ideal response?