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
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Related Questions
Correct Answer is C
Explanation
This indicates a reduction in the abdominal swelling caused by fluid accumulation, which is a common complication of cirrhosis. Spironolactone is a diuretic that helps remove excess fluid from the body. Spironolactone in liver cirrhosis is used to reduce fluid retention and hence decrease ascites
The other effects are not directly related to spironolactone use
Correct Answer is D
Explanation
The term PRN stands for when needed which does not state the specific circumstances under which the medication should be given. It is therfore, important to confirm tis to ensure safe administration of the medication
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