Which medications does the nurse correctly administer preoperatively? (Select all that apply.)
a. Hydroxyzine (Atarax, Vistaril) for seda-tion
b. Lorazepam (Ativan) for anxiety
c. Hydromorphone (Dilaudid) to decrease postoperative secretions
d. Metoclopramide (Reglan) to increase stomach emptying
e. Aspirin to decrease blood clotting post-operatively
f. Cimetidine (Tagamet) to prevent infection
A, B, D
The nurse will administer hydroxyzine (Atarax) for sedation, lorazepam (Ativan) for anxiety, and metoclopramide (Reglan) to increase stomach emptying. Hydromorphone is given for pain, and cimetidine (Tagamet) decreases histamine. Aspirin would not be administered preoperatively because it can increase bleeding.
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Which of the following platelet counts would be most indicative of a diagnosis of ITP?
a. 28,000/mm3 c. 72,000/mm3 b. 35,000/mm3 d. 110,000/mm3
The client in the photograph is having a cranial nerve assessment. Which cranial nerve is the nurse assessing?
1. Olfactory nerve (cranial nerve I). 2. Optic nerve (cranial nerve II). 3. Oculomotor nerve (cranial nerve III). 4. Trochlear nerve (cranial nerve IV).
In acute hypothermia, what physiologic change shunts blood away from the colder skin to the body core in an effort to decrease heat loss?
a. Hypotension b. Peripheral vasoconstriction c. Voluntary muscle movements d. Shivering
The nurse uses a visual aid to demonstrate how a coup-contrecoup injures the brain. Which information should the nurse include? (Select all that apply.)
a. These injuries allow the brain to twist on the brainstem. b. These injuries cause the brain to move forward to strike the anterior interior skull. c. These injuries allow the brain to compress on itself. d. These injuries cause the brain to strike the bony area opposite of the site of impact. e. These injuries cause the brain to lose small amounts of cerebrospinal fluid.