A nurse is caring for a client who has received propofol during a colonoscopy. The nurse should monitor for which of the following as an adverse effect of the medication?
Increase in heart rate
Decrease in respiratory rate
Increase in bowel function
Decrease in body temperature
The Correct Answer is B
Propofol causes positive modulation of the inhibitory function of the neurotransmitter gamma-aminobutyric acid (GABA) through GABA-A receptors. It also enhances GABA's effects leads to increased chloride influx into neurons, causing hyperpolarization and decreased neuronal activity. This results in the sedative and hypnotic effects for which propofol is used during anesthesia. Propofol can cause respiratory depression when levels in the blood are high and hence respiratory rate should be monitored closely
A-Propofol is likely to cause bradycardia due to depression of central cardiac centers
C-Propofol has no effect on bowel function
D-Propofol can cause hypothermia when used in anesthesia but not as critical as respiratory depression
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Consulting a reference guide provides information on all potential interactions that may apply for the medication guide. It allows the nurse to give specific and accurate information regarding the drug at hand without generalization.
A- This does not apply to all medications
C-Asking a colleague may not be accurate
D- The clients records may not contain all the relevant information needed
Correct Answer is B
Explanation
Reduced respiratory rate and absence of deep tendon reflexes are an indicator of magnesium sulfate toxicity. Calcium competitively binds on the magnesium sulphate receptors to lower the toxicity effect
A- Methylergonovine is a uterotonic C-Naloxone is used for opioids toxicity D-Dexamethasone is not an antidote
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