Which of the following statements describes a distinct advantage of succinylcholine (Anectine)?
a. It can be used for muscle relaxation during electroconvulsive therapy.
b. It has a low risk of producing bronchospasm and apnea.
c. It produces almost no postoperative myalgia.
d. It can be safely administered to a patient with a hypersensitivity to parabens.
ANS: A
Succinylcholine has the known adverse effects of bronchospasm and apnea, produces neck, shoulder, and back pain in up to 75% of patients postoperatively, and is contraindicated for use in patients with hypersensitivity to parabens.
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The nurse caring for a client with Guillain-Barré syndrome has identified the priority client problem of decreased mobility for the client. What actions by the nurse are best? (Select all that apply.)
a. Ask occupational therapy to help the client with activities of daily living. b. Consult with the provider about a physical therapy consult. c. Provide the client with information on support groups. d. Refer the client to a medical social worker or chaplain. e. Work with speech therapy to design a high-protein diet.
In developing the discharge plan for a patient who was treated in the hospital for anaphylactic shock related to a nonsteroidal anti-inflammatory (NSAID) allergy, what would be the most important information for the nurse to include?
A) Adhere to dietary restrictions. B) Follow up in one month with the physician. C) Check labels of over-the-counter medications prior to taking. D) Have blood pressure checked on a regular basis.
A patient is suspected of experiencing an MI at approximately 6:00 AM, at which time laboratory results show an increase in troponin I. The nurse can expect troponin I to peak at what time:
A) 6:00 PM B) 1:00 PM C) 8:00 PM the following day D) 10:00 AM
The patient has been started on a treatment regimen that includes atenolol (Tenormin) and complains to the nurse of feeling weak. Which is the best response from the nurse?
a. "I will hold your next dose of the medication." b. "You may need an increase in your next dose of the medication." c. "This is an adverse reaction to the medication. I will stop the drug." d. "This is a side effect of the medication. I will notify your physician."