When general anesthesia is necessary for a cesarean delivery, the nurse should be prepared to: (Select all that apply.)
1. Administer an antacid to the client.
2. Place a wedge under the left hip.
3. Apply cricoid pressure during anesthesia intubation.
4. Preoxygenate for 3–5 minutes before anesthesia.
1; 3; 4
Rationale:
1. An antacid will help empty the stomach and decrease the risk of complications if aspiration occurs.
2. A wedge is placed under the right hip, not the left hip.
3. Cricoid pressure will assist anesthesia with intubation.
4. Preoxygenating prior to anesthesia will maximize the oxygen to the fetus.
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The anesthesiologist has specified that ketamine will be included in a surgical patient's balanced anesthesia. When in postanesthetic recovery, the nurse should assess for what adverse effect of this medication?
A) Labile blood pressure B) Increased intracranial pressure C) Hyperventilation and respiratory alkalosis D) Delirium and agitation
Acid-neutralizing capacity (ANC) is an important consideration in choice of antacid. The nurse realizes that further client education is necessary when the client expresses which of the following ideas?
a. "Antacids with a high ANC are more effective than those with a low ANC." b. "ANC is a measure of the quantity of hydrochloric acid an antacid product can neutralize." c. "I will require smaller amounts of antacid if the ANC value is high." d. "Antacids with a high ANC can only be obtained by prescription."
Of the following nursing assessments, which should be reported to the primary care provider immediately by the nurse?
a. Bloody drainage from a patient with a hemothorax b. Subcutaneous emphysema is noted on assessment c. Bubbling in the water seal stops on a patient with a pneumothorax d. Over 300 mL of drainage has been collected in the system in the past hour
Which of the following conditions is Tolterodine (Detrol) the drug of choice?
A. pyelonephritis B. edema C. overactive bladder D. urinary tract infection