When assessing patients in the preoperative area, the nurse knows that which patient is at a higher risk for an altered response to anesthesia

The 21-year-old patient who has never had surgery before

The 40-year-old patient who is to have a kidney stone removed

The 82-year-old patient who is to have gallbladder removal

The 35-year-old patient who stopped smoking 8 years ago

Answer and Explanation

The Correct Answer is C

A.   The 21-year-old patient who has never had surgery before: While lack of previous surgery experience may contribute to anxiety, it doesn't inherently increase the risk of altered response to anesthesia.
B.   The 40-year-old patient who is to have kidney stone removed: While the type of surgery may influence anesthesia considerations, being 40 years old alone doesn't significantly increase the risk of altered response to anesthesia.
C.   The 82-year-old patient who is to have gallbladder removal: Advanced age is a significant risk factor for altered response to anesthesia due to age-related changes in physiology, metabolism, and drug clearance.
D.   The 35-year-old patient who stopped smoking 8 years ago: While smoking history can impact anesthesia considerations, stopping smoking 8 years ago likely reduces the associated risks compared to current smokers.

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Correct Answer is D

Explanation

A. Fever: Fever is not a common adverse effect of haloperidol.

B. Intractable hiccups: While hiccups can occur as a side effect of some medications, they are not a commonly reported adverse effect of haloperidol.
C. Excessive salivation: Excessive salivation is not a typical adverse effect of haloperidol.

D. Extrapyramidal symptoms: Haloperidol, as a first-generation antipsychotic, is known to cause extrapyramidal symptoms such as dystonia, akathisia, parkinsonism, and tardive dyskinesia. Monitoring for these adverse effects is essential during treatment with haloperidol.

Correct Answer is ["0.6"]

Explanation

To find out how many milliliters (mL) of methylnaltrexone should be administered to achieve a dose of 12 mg, we need to set up a proportion based on the available concentration.

Given:

Methylnaltrexone concentration: 8 mg per 0.4 mL
Desired dose: 12 mg

We can set up the proportion as follows:

8 /0.4 = 12 / x

Where ( x ) is the unknown amount of methylnaltrexone in milliliters.

To solve for ( x ), we can cross multiply and then divide:

8x = 0.4 12

8x = 4.8

x = 4.8/8

x = 0.6

Therefore, the nurse should administer 0.6 mL of methylnaltrexone.

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When assessing patients in the preoperative area, the nurse knows that which patient is at a higher risk for an altered response to anesthesia

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has schizophrenia and is taking haloperidol. The nurse should monitor for which of the following adverse effects of haloperidol?

Correct Answer is D

Explanation

Correct Answer is ["0.6"]

Explanation

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