A client having an abdominal resection also has a history of myasthenia gravis. Due to the risk of nitrous oxide, what does the nurse anticipate this client to be at a greater risk for developing?
1. Increased heart rate and respiratory depression
2. Nausea and vomiting during surgery
3. Decreased intracranial pressure and diuresis
4. Respiratory depression and prolonged hypnotic effects
4
Rationale 1:Patients with cardiovascular disease should be monitored but increased heart rate is not associated with cardiovascular disease.
Rationale 2: Nausea and vomiting can occur after surgery.
Rationale 3: Decreased intracranial pressure and vomiting are not associated with nitrous oxide and myasthenia gravis patients.
Rationale 4: Nitrous oxide should be used cautiously in patients with myasthenia gravis because it can cause respiratory depression and prolonged hypnotic effects.
Global Rationale: Nitrous oxide should be used cautiously in patients with myasthenia gravis because it can cause respiratory depression and prolonged hypnotic effects. Patients with cardiovascular disease, especially those with increased intracranial pressure, should be monitored carefully because the hypnotic effects of the drug can be prolonged or more powerful.
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