A client having an abdominal resection also has a history of myasthenia gravis. Due to the risk of nitrous oxide, what does the nurse anticipate this client to be at a greater risk for developing?
1. Increased intracranial pressure and respiratory depression
2. Nausea and vomiting during surgery
3. Increased cranial pressure and vomiting
4. Respiratory depression and prolonged hypnotic effects
Correct Answer: 4
Rationale 1: Increased intracranial pressure and respiratory depression is incorrect because nitrous oxide should be used cautiously in patients with myasthenia gravis, because it can cause respiratory depression and prolonged hypnotic effects.
Rationale 2: Nausea and vomiting during surgery is incorrect because nitrous oxide should be used cautiously in patients with myasthenia gravis, because it can cause respiratory depression and prolonged hypnotic effects.
Rationale 3: Increased cranial pressure and vomiting is incorrect because nitrous oxide should be used cautiously in patients with myasthenia gravis, because it can cause respiratory depression and prolonged hypnotic effects.
Rationale 4: Nitrous oxide should be used cautiously in patients with myasthenia gravis because it can cause respiratory depression and prolonged hypnotic effects. Patients with cardiovascular disease, especially those with increased intracranial pressure, should be monitored carefully because the hypnotic effects of the drug can be prolonged or more powerful.
Global Rationale: Nitrous oxide should be used cautiously in patients with myasthenia gravis because it can cause respiratory depression and prolonged hypnotic effects. Patients with cardiovascular disease, especially those with increased intracranial pressure, should be monitored carefully because the hypnotic effects of the drug can be prolonged or more powerful.
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