An anesthesiologist informs the nurse that a patient scheduled ...

[LaDunn]

An anesthesiologist informs the nurse that a patient scheduled for a caesarean section will be having general anesthesia with postoperative self-controlled analgesia.
 
  For which patients would a general anesthesia be recommended? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The patient with a history of drug addiction
  2. The patient who has had a lower back fusion
  3. The patient who is 13 years old
  4. The patient who is allergic to morphine sulfate
  5. The patient who has had surgery for scoliosis

Question 2

The nurse has admitted a child with a cyanotic heart defect. The nurse would expect the initial lab result to show
 
  1. a high hemoglobin.
  2. a low hematocrit.
  3. a high white-blood-cell count.
  4. a low platelet count.

[reelove4eva]

Answer to Question 1

2,5
Rationale 1: A history of drug addiction is not relevant to the decision to administer general anesthesia.
Rationale 2: A patient who has had this surgery cannot have an epidural or spinal.
Rationale 3: Age is not relevant to the decision to administer general anesthesia.
Rationale 4: This allergy is not relevant to the decision to administer general anesthesia.
Rationale 5: A patient who has had this surgery cannot have an epidural or spinal.

Answer to Question 2

Answer:1
Rationale: The child's bone marrow responds to chronic hypoxemia by producing more red blood cells to increase the amount of hemoglobin available to carry oxygen to the tissues. This occurs in cases of cyanotic heart defects. Therefore,the hematocrit would not be low,the white-blood-cell count would not be high (unless an infection is present),and the platelets would be normal.