A 45-year-old obese patient has been scheduled for cardiac bypass surgery
The nurse who is preparing the patient for surgery asks, "Do you have a history of sleep apnea?" This is important to know before surgery because patients with sleep apnea: a. are prone to snore after surgery and require a private room.
b. who receive general anesthesia have a greater risk for airway obstruction.
c. generally need additional pain medication.
d. usually require sleep aids to provide more restful sleep.
B
If a patient is scheduled for surgery, be sure to ask about a history of sleep apnea. Patients with sleep apnea who receive general anesthesia and pain medications after surgery have increased risk for developing airway obstruction during recovery. A private room is not necessary. Sleep apnea does not require a patient to need additional pain medication or sleep aids after surgery.
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A homecare nurse visits a client in the home to conduct a fall risk assessment. The nurse assesses the client and the home for extrinsic risk factors for falls. Which of the following are extrinsic risk factors? (Select all that apply.)
a. The client has an unsteady gait. b. The client uses a cane, but the cane is not the appropriate size for the client. c. The client's home is cluttered. d. The client is on two different medications that cause orthostatic hypotension. e. There are no grab bars in the client's bath-room.
The nurse recognizes the results in this laboratory report as consistent with which disorder?
1. Myasthenia gravis 2. Parkinson's disease 3. Amyotrophic lateral sclerosis (ALS) 4. Alzheimer's disease
Which of the following create a higher risk for digoxin toxicity? Both the cause and the reason for it must be correct
1. Older adults because of reduced renal function 2. Administration of aldosterone antagonist diuretics because of decreased potassium levels 3. Taking an antacid for gastroesophageal reflux disease because it increases the absorption of digoxin 4. Doses between 0.25 and 0.5 mg/day
The nurse has an order to give a client salmeterol (Serevent), two puffs, and beclomethasone (a steriod inhaler) two puffs, by metered dose inhaler. The nurse should administer the medication by giving the:
a) Beclomethasone first then the salmeterol b) Salmeterol first and then the becolomethasone c) Alternating a single puff of each, beginning with the salmeterol d) Alternating a single puff of each, beginning with the becolomethasone