During the course of surgery, a patient exhibits tachycardia, diaphoresis, and rising body temperature. Which is the circulating nurse's priority intervention?
a. Monitor the patient for any further changes in condition.
b. Note the patient's oxygen saturation and blood pressure.
c. Ask the scrub nurse to verify the assess-ment findings.
d. Alert the anesthesiologist and surgeon immediately.
D
These are signs of malignant hyperthermia, along with arrhythmias, muscle rigidity, and hypo-tension. The anesthesiologist and surgeon should be notified immediately because malignant hyperthermia is a medical emergency. The nurse should continue to monitor the patient. The nurse should verify the patient's oxygen saturation and blood pressure in conjunction with the anesthesiologist and surgeon.
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The physician orders all of the following drugs for a patient who had surgery 2 days ago. Which drug order does the nurse administer first?
a. Alphamine (cyanocobalamin) 100 mcg intramuscularly once b. Benadryl (diphenhydramine) 25 mg orally every 8 hours c. Compazine (prochlorperazine) 10 mg orally STAT d. Dalmane (flurazepam) 30 mg orally at night PRN
The process of creating a(n)____________can only occur in the pacemaker cells that are found in specific regions of the heart.?
A) regulated arterial pressure B) change blood pressure C) synchronized contraction D) electrical impulse
The husband of a terminally ill client says to the nurse, "My company went bankrupt, my son is a drug addict, my daughter is an alcoholic, and now this! My doctor wants me to try some stress reduction because my blood pressure is up. Whose wouldn't be? I've tried music and relaxation, but they don't work." Which statement by the nurse would be therapeutic?
A. "Let's talk more about what has been helpful to you in the past." B. "Before we talk about stress management, let's discuss your children." C. "You have a lot of problems. How long does your wife have to live, and what is her relationship with your children?" D. "Can you afford to pay for therapy sessions? I see that your benefits are pretty much maxed out, and I'd hate to ask you to take on any additional burden."
During an admission interview, a patient informs you that she has been taking an over-the-counter (OTC) sleeping pill. She asks you if the pill will interact with any medications
You tell the client that OTC sleep medications may have adverse effects when used with anticholinergic drugs and central nervous system depressants. You made this statement based on the knowledge that most OTC sleeping pills contain which of the following? A) Opioids B) Tricyclic antidepressants C) Benzodiazepines D) Antihistamines