When a client emerges from general anesthesia, which of these side effects of anesthesia may be present?
a. increased heart and respiratory rates c. decreased blood pressure
b. hypothermia d. panic attacks
B
Surgical clients lose a great amount of body heat at a time when the body's temperature regulation function is impaired by anesthesia; hypothermia also adds to the central nervous system depression that occurs with residual anesthesia. Surface warming with a forced-air warming blanket, cloth blankets, or heating lamps is useful in increasing the postoperative client's body temperature. Warming the client and encouraging deep breathing helps eliminate the anesthetic agents that can cause postoperative shivering.
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A plaintiff's attorney decides to use the doctrine of res ipsa loquitor in a case against the urologist who perforated a patient's urethra during a cystoscopy. What must the plaintiff prove? Select all possible correct answers
1. This complication does not generally occur unless someone provided negligent care. 2. Several agencies, from the manufacturer to the physician, were involved in the negligence. 3. The plaintiff had no control over the development of the perforation. 4. The locality rule was in effect at the time of the procedure. 5. The event causing the perforation was deliberate.
During the nurse's discussion with the client, the client's statements show a beginning awareness of her difficulty. This may be indicative of which phase in the nurse-client relationship?
a. termination phase b. orientation phase c. work phase d. introduction phase
How should nurse managers face the challenge of globalization?
a. Participate in the World Health Organization to help prevent a pandemic b. Assure that adequate disease testing equipment is in place c. Conduct research to develop new diagnostic tests d. Screen all patients to prevent an epidemic
A patient with type I diabetes is taking NPH insulin, 30 units every day. A nurse notes that the patient is also taking metoprolol (Lopressor). What education should the nurse provide to the patient?
a. "Metoprolol has no effect on diabetes mellitus or on your insulin requirements." b. "Metoprolol interferes with the effects of insulin, so you may need to increase your insulin dose." c. "Metoprolol may mask signs of hypoglycemia, so you need to monitor your blood glucose closely." d. "Metoprolol may potentiate the effects of the insulin, so the dose should be reduced."