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 B

Explanation

A. A lithium level of 0.9 mEq/L falls within the therapeutic range for lithium, so it is not too low.

B. A lithium level of 0.9 mEq/L is within the therapeutic range for lithium maintenance therapy, which typically ranges from 0.6 to 1.2 mEq/L. Therefore, it is considered therapeutic.
C. Lithium is commonly monitored with blood levels to ensure therapeutic efficacy and to prevent toxicity.
D. A lithium level of 0.9 mEq/L is not too high; it is within the therapeutic range.

A. Menstrual cramps B. Constipation C. Muscle aches D. Incision pain after surgery

Correct Answer is A

Explanation

A. Menstrual cramps: Feverfew is commonly used as an herbal remedy for menstrual cramps and migraines due to its purported anti-inflammatory and smooth muscle relaxant properties.
B. Constipation: Feverfew is not typically used to treat constipation.

C. Muscle aches: While feverfew may have some anti-inflammatory properties, it is not commonly used specifically for muscle aches.
D. Incision pain after surgery: Feverfew is not typically used to manage post-surgical pain.

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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 patient has been taking lithium for 1 year, and the most recent lithium level is 0.9 mEq/L. Which statement about the laboratory result is correct?

Correct Answer is B

Explanation

The nurse is reviewing herbal therapies. Which is a common use of the herb feverfew?

Correct Answer is A

Explanation

The nurse is caring for a client experiencing sympathetic nervous system stimulation. What assessment finding supports this diagnosis? Select all that apply. (Select All that Apply.)

A patient has been taking phenobarbital for 2 weeks as part of his therapy for epilepsy. He tells the nurse that he feels tense and that the least little thing bothers him now. Which is the correct explanation for this problem?

A nurse is preparing to administer amantadine 150 mg PO every 12 hr. Available is amantadine 50 mg/5 mL syrup. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

The nurse has given medication instructions to a patient receiving phenytoin. Which statement by the patient indicates that the patient has an adequate understanding of the instructions?

A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?

A nurse is teaching a patient who has schizophrenia strategies to cope with anticholinergic effects of fluphenazine. Which of the following should the nurse suggest to the patient to minimize anticholinergic effects?

While being intubated, a client with a head injury experienced bradycardia. Atropine was consequently administered. What assessment should be postponed until all atropine is excreted and no longer exerting an effect?

The nurse is reviewing the use of central nervous system stimulants. Which of these are indications for this class of drugs? (Select all that apply.)