A post-anesthesia care nurse is receiving a report on a patient who was delivered under general anesthesia. The operating room nurse states that the patient received a dose of metoclopramide (Reglan) IV in the operating room
The nurse explains to a student nurse the purpose of giving this drug is to do which of the following?
A.
Allow rapid anesthetic induction
B.
Increase the speed of gastric emptying
C.
Promote muscle relaxation
D.
Reduce stomach acid production
ANS: B
Reglan increases the speed of gastric emptying, which helps prevent the aspiration of gastric contents. Pregnant women are at a higher risk of gastric reflux than the general population. Rapid induction is facilitated with a short-acting barbiturate such as thiopental sodium (Pentothal). Muscle relaxation can be facilitated with succinylcholine (Anectine). Ranitidine hydrochloride (Zantac) or cimetidine (Tagamet) can be used to decrease gastric acid production.
You might also like to view...
A patient has been taking oral amoxicillin to treat otitis media for the past 6 days and has told the nurse that his ear is now "back to normal." He asks the nurse if he can now stop taking his antibiotics. How should the nurse respond?
A) "That's excellent that you're feeling better, but it's important to keep taking the antibiotics until they're all finished." B) "Try reducing your dose by half. If your ear infection gets worse, resume the dose you've been taking until now." C) "You should stop taking the antibiotics because if you don't, it could cause antibiotic resistance." D) "You can likely stop taking the antibiotics, but keep them on hand in case your infection returns."
The nurse is caring for an infant born at 37 weeks that weighs 1,750 g (3 pounds, 10 ounces). The head circumference and length are at the 25th percentile. What statement would the nurse expect to find in the chart?
1. Preterm appropriate for gestational age, symmetrical IUGR 2. Term small for gestational age, symmetrical IUGR 3. Preterm small for gestational age, asymmetrical IUGR 4. Preterm appropriate for gestational age, asymmetrical IUGR
An infant of African origin is being cared for by parents who immigrated to the United States 6 months prior. The mother is using an herbal paste to treat the baby's diaper rash. What should the nurse do to ensure cultural competence?
1. Instruct the mother to stop using the paste. 2. Ask the mother to explain the ingredients in the paste. 3. Provide the mother with another cream to use for the diaper rash. 4. Explain to the mother that herbal ingredients are harmful to the baby.
The nurse is caring for a client diagnosed with chronic obstructive pulmonary disease (COPD) and experiencing respiratory acidosis. The client asks what is making the acidotic state
The nurse is most correct to identify which result of the disease process that causes the rise in pH? A) The lungs are unable to breathe in sufficient oxygen. B) The lungs are unable to exchange oxygen and carbon dioxide. C) The lungs have ineffective cilia from years of smoking. D) The lungs are not able to blow off carbon dioxide.