During surgery, the nurse makes the following observations about the patient:
- Pulse rises from 68 beats per minute to 110 beats per minute.
- Temperature increases from 36.5 C to 38.50
- Muscles appear rigid.
The circulating nurse anticipates preparation of:
Naloxone (Narcan)
Dantrolene (Dentrum)
Furosemide (Lasix)
Flumazenil (Romazicon)
Flumazenil (Romazicon)
The Correct Answer is B
The given observations suggest the occurrence of malignant hyperthermia (MH), a potentially life-threatening reaction to certain medications used during anesthesia. MH is characterized by an increase in heart rate (tachycardia), elevated body temperature (hyperthermia), and muscle rigidity. The primary treatment for MH is the administration of dantrolene, which is a skeletal muscle relaxant that helps to counteract the effects of the reaction.
Naloxone (Narcan) is an opioid receptor antagonist used to reverse the effects of opioid overdose or excessive opioid sedation.
Furosemide (Lasix) is a diuretic used to treat conditions such as edema and high blood pressure.
Flumazenil (Romazicon) is a benzodiazepine receptor antagonist used to reverse the effects of benzodiazepine overdose or excessive sedation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Antacids work by raising the pH level in the stomach, which means they make the stomach less acidic. This helps to reduce the symptoms of heartburn associated with gastroesophageal reflux disease (GERD). By increasing the pH, antacids help to neutralize the excess stomach acid that can cause irritation of the esophagus and lead to heartburn. However, it's important to note that antacids provide temporary relief and do not treat the underlying cause of GERD.
Correct Answer is C
Explanation
School-age children typically have a growing awareness of their bodies and an understanding of potential harm or pain. They may fear procedures or treatments that involve physical discomfort, such as injections, blood draws, or invasive procedures. The fear of experiencing pain or bodily injury can cause anxiety and distress in school-age children.
It is important for the nurse to acknowledge and address the child's fear of pain or bodily injury by providing age-appropriate explanations, offering reassurance, and implementing strategies to minimize discomfort. This may involve using distraction techniques, providing emotional support, and ensuring proper pain management during procedures.
While loss of privacy and control, separation anxiety, and stranger anxiety can also be stressors for school-age children, the fear of pain or bodily injury is often a significant concern that may require specific attention and interventions from the nurse.
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