A patient who has history of severe arteriosclerosis has sustained a laceration on the forearm that will be repaired in the emergency department. The nurse would plan to obtain a local anesthetic with which properties? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. With no epinephrine
2. With sodium bicarbonate
3. Without lidocaine
4. With a volatile liquid
5. With proparacaine (Alcaine)
1,2
Rationale 1: Local anesthetics with epinephrine are not typically used for patients with cardiac diseases.
Rationale 2: Sodium bicarbonate is often used to retard bacterial growth.
Rationale 3: There is no reason to avoid lidocaine in this patient.
Rationale 4: Volatile liquids are used for inhalation anesthesia.
Rationale 5: Proparacaine (Alcaine) is used for ocular procedures.
Global Rationale: Local anesthetics with epinephrine are not typically used for patients with cardiac diseases. Sodium bicarbonate is often used to retard bacterial growth. There is no reason to avoid lidocaine in this patient. Volatile liquids are used for inhalation anesthesia. Proparacaine (Alcaine) is used for ocular procedures.
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A new graduate nurse tells the manager that she does not believe she needs more in-service training on culturally congruent care because she already recognizes that there are significant differences among cultures to take into account when providing care
What response by the manager is best? a. "You have done a great job becoming culturally competent." b. "Providing culturally congruent care takes ongoing work and effort." c. "That is a great start, but be sure to sign up for the in-service." d. "Cultural sensitivity and cultural competence are not the same."
Upon entering the client's room and performing an initial assessment, the nurse finds the client to have warm, flushed skin, fever above 100.4 degrees F, mild tachycardia, and a respiratory rate of 26
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The nurse is caring for a patient who underwent abdominal surgery the previous day. Which assessment findings indicate to the nurse that the patient may be experiencing serious internal bleeding? (Select all that apply.)
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