A surgical patient is receiving succinylcholine [Anectine] with an inhalation anesthetic. The patient is intubated, has an indwelling urinary catheter, and has ongoing monitoring of vital signs
Which symptom during the perioperative period is cause for concern? a. Elevated temperature
b. Increased urine output
c. Muscle paralysis
d. No response to painful stimuli
A
Combining succinylcholine (a skeletal muscle relaxant) with an inhalation anesthetic increases the risk of malignant hyperthermia. The mechanism is not understood. Temperature elevation can be profound, and cooling measures must be initiated or the condition can be fatal. A decrease in urine output would be a sign of hypotension. Muscle paralysis and lack of response to pain are desired effects of anesthesia.
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a. keeping the patient positioned on the un-affected side. b. irrigating the nephrostomy tube. c. assessing urinary output from the left kidney. d. keeping the nephrostomy tube clamped.
Which study exemplifies qualitative research?
a. A study that evaluates appetite among residents of a long-term care facility and correlates this data with whether or not residents are rooming together with their spouses. b. A study that defines levels of appetite based on residents' descriptions of hunger in a long-term care facility. c. A study that observes the interactions of spouses during mealtimes in a long-term care facility. d. A study that observes the effectiveness of spousal encouragement to eat on the residents' quality of appetite in a long-term care facility.
A nurse is administering medication to a client using an intravenous (IV) infusion. What considerations should be kept in mind when using infusion pumps?
A) Infusion pumps use gravity to maintain the flow of IV fluids at a preset rate. B) Infusion pumps are used in clients with kidney disease to prevent fluid overload. C) Infusion pumps automatically regulate the rate and amount of IV fluid. D) Infusion pumps do not pump fluids when the catheter is displaced from the vein.
How many times can prescriptions with refills in Schedule III and IV be transferred between pharmacies?
a. Until refills are used up b. Never allowed c. One time only with prescription closed at original pharmacy d. Only one refill transfer with prescription still on file at original pharmacy