A patient has a history of liver disease. Which of the following neuromuscular blocking agents will this patient best tolerate?
a. Pancuronium (Pavulon)
b. Vecuronium (Norcuron)
c. Mivacurium (Mivacron)
d. Atracurium (Tracrium)
ANS: D
The organ-independent biotransformation of atracurium makes it attractive for patients with mul-tiple organ system failure.
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A client with bipolar disorder is monitored by the community mental health nurse. The client's
mood disorder is under good control when the client takes the prescribed doses of lithium. The client tells the nurse she is pregnant as the result of her boyfriend committing date rape. The nurse makes the following assessments: lithium taken throughout pregnancy may result in a baby born with birth defects; the client is likely to have a relapse of her illness if she stops taking lithium; and the client is a devout Catholic who believes her boyfriend will marry her "even if he did get carried away" and care for their child. Which option would be congruent with the client's values and ethical beliefs? a. Continue lithium; deal with the issue of a baby with birth defects if it occurs. b. Continue lithium and encourage the client to undergo a therapeutic abortion. c. Discontinue lithium, use alternative medication, and prepare for hospitalization prn. d. Arrange for involuntary hospitalization for the duration of the pregnancy.
The nurse is assessing a patient's tongue mobility by assessing cranial nerve (CN) ____________________
Fill in the blank with correct word
A new nursing student is learning how to take vital signs. He is having difficulty hearing his patient's apical pulse with his stethoscope. Which of the following would best maximize the sound quality of what he hears through the stethoscope?
A. Positioning the diaphragm very lightly on the area he is listening to B. Placing the stethoscope chestpiece directly on the patient's skin C. Placing the stethoscope on the patient's back, directly behind the heart D. Using a stethoscope with the longest tubing that he can find
The client tells the nurse, "Blowing into this tube thing (incentive spirometer) is a ridiculous waste of time." Which one of the following does the nurse tell the client is the specific purpose of using an incentive spirometer?
a. It directly removes excess secretions from the lungs. b. It increases pulmonary circulation. c. It promotes optimal lung expansion. d. It stimulates the cough reflex.