Which of the following correctly identifies the initial use for an IV in a patient undergoing a lengthy abdominal surgery that requires general anesthesia?
1. To administer agents that will produce rapid unconsciousness
2. To administer reversal agents or other medications used to treat the adverse effects associated with general anesthesia
3. To administer large amounts of colloid solutions following surgical blood loss
4. To administer a volatile liquid that will keep the patient asleep
Correct Answer: 1
Rationale: IV lines are started prior to surgical procedures requiring general anesthesia to administer agents that will cause rapid loss of consciousness. The IV also may be used to treat adverse effects and administer replacement fluids, but these would not be initial uses. Volatile liquids are inhaled gases.
You might also like to view...
A chief nurse officer (CNO) is considering a collaborative effort with a school of nursing to offer externships to students. The chief financial officer (CFO) rejects the proposal because it will entail a cost to the organization
Which statement by the CNO would influence the CFO to reconsider this proposal? 1. "Nursing is the foundation of this hospital and we have to get nurses into the organization." 2. "We could hire students as nurse's aides, which would save costs." 3. "An externship will allow the nursing students to work with nurses, learn about the organization, and create a positive impression of our facility." 4. "Offering a nurse externship would allow the organization to create the types of nurses we would like to hire."
A patient who is 7 months pregnant with her first child is visiting the health care provider for her scheduled prenatal checkup. She tells the nurse that she is short of breath and fatigued. What is the best response from the nurse?
a. "You should have let us know immediately instead of waiting until your appointment." b. "I'll make a note of it on your chart." c. "That is normal; your uterus is causing pressure on your diaphragm, making it more difficult to breathe." d. "Oxygen is needed for you and the baby. I will give you some oxygen to help you."
The manager of a surgical area has a vision for the future that requires the addition of RN assistants or unlicensed persons to feed, bathe, and walk patients
The RNs on the staff have al-ways practiced in a primary nursing–delivery system and are very resistant to this idea. The best initial strategy in this situation would include: a. Exploring the values and feelings of the RN group in relationship to this change. b. Leaving the RNs alone for a time so they can think about the change before it is im-plemented. c. Dropping the idea and trying for the change in a year or so when some of the present RNs have retired. d. Hiring the assistants and allowing the RNs to see what good additions they are.
In reviewing the current delivery model, the nurse manager is aware that a demographic change that will have a significant effect on the healthcare delivery systems of the future is:
a. Changes in staffing patterns. b. Increasing reports of violence in the workplace. c. The increasing percentage of the popula-tion that will be over age 65. d. Escalations in the cost of health care.