Most people who receive succinylcholine as a muscle paralyzer have a brief response lasting only a few minutes. A person who has a very prolonged effect from the drug at a standard dosage is experiencing:
1. an anaphylactic reaction.
2. an idiosyncratic effect.
3. an iatrogenic response.
4. a physical dependence.
Correct Answer: 2
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A nurse is making rounds and performing physical assessments on each of the assigned patients. Which patient would the nurse most likely anticipate developing tachyphylaxis, so that she assesses for it specifically?
a. A patient who has been using opioids for pain relief b. A patient who has been using opioids for recreational purposes c. A patient who has been taking large doses of insulin for a long time d. A patient who has been wearing a nitroglycerin patch for 24 hours
A patient with a recent diagnosis of schizophrenia is taking thioridazine (Mellaril) to treat psychotic symptoms
The patient's family member is concerned that the patient continues to have little interest in activities and has difficulty beginning even simple tasks. The primary care NP should contact the patient's psychiatrist to discuss changing to: a. fluphenazine (Prolixin). b. risperidone (Risperdal). c. chlorpromazine (Thorazine). d. prochlorperazine (Compazine).
Immune globulin serums:
1. Provide active immunity against infectious diseases 2. Are contraindicated during pregnancy 3. Are heated to above body temperature to kill most hepatitis, HIV, and other viruses such as parvovirus 4. Are derived from pooled plasma of adults and contain specific antibodies in proportion to the donor population
The physician has prescribed phenytoin (Dilantin) for a patient with type 1 diabetes mellitus. What does the nurse include in the plan of care for this patient?
1. Plan to discuss with the physician the need to decrease the patient's insulin based on serum glucose levels. 2. Plan to discuss with the physician the need to increase the patient's insulin based on serum glucose levels. 3. Plan to assess the patient for petechiae, epistaxis, and hematuria. 4. Plan to institute safety precautions, as the patient is at risk for dizziness and ataxia.