A laboring woman is given a non-particulate antacid in preparation for general anesthesia. The nurse recognizes that the purpose for this medication is to

a. increases the gastric pH level
b. help alleviate nausea from the anesthesia
c. decrease the accumulation of gas in the stomach
d. decrease the volume in the stomach


A
The oral administration of a non-particulate antacid (such as sodium citrate) just before induction of general anesthesia increases the gastric pH level and should be given routinely. Particulate antacids (such as magnesium oxide [Maalox]) are not recommended because the particulate matter in the antacid can produce severe pulmonary reaction if aspirated.

Nursing

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A 30-year-old male's blood work and biopsies indicate that he has proliferating osteoclasts that are producing large amounts of IgG. What is the man's most likely diagnosis?

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Drugs that increase receptor activation are those that:

a. produce an effect equivalent to that produced by the natural neurotransmitter. b. antagonize any natural neurotransmitters in the synapse. c. promote the use of excess transmitters to down-regulate activation. d. lack any effect at the synaptic cleft.

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The SBAR system of communications is one of the most used communication systems in health care because:

a. It deals with all aspects of communications in patient care except communication with the physician. b. The nurse is on the same communication level as administration. c. It honors a familiar, structured transfer of information among health professionals. d. It honors an unstructured transfer of information.

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The patient takes insulin for diabetes mellitus. The physician orders metoprolol (Lopressor) for hypertension. After medication teaching, the nurse determines that learning has occurred when the patient makes which statement?

1. "I might not need to check my blood sugars as often with metoprolol (Lopressor)." 2. "I might be able to change from insulin to a pill with metoprolol (Lopressor)." 3. "I might need less insulin when I take metoprolol (Lopressor)." 4. "I might need more insulin when I take metoprolol (Lopressor)."

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