Upon assessment, a client reports that he drinks five to six ...

[go.lag]

Upon assessment, a client reports that he drinks five to six bottles of beer every evening after work. Based upon this information, the nurse is aware that the client may require which of the following?
 
  A) Larger doses of anesthetic agents and larger doses of postoperative analgesics
  B) Larger doses of anesthetic agents and lower doses of postoperative analgesics
  C) Lower doses of anesthetic agents and lower doses of postoperative analgesics
  D) Lower doses of anesthetic agents and larger doses of postoperative analgesics

Question 2

The telemetry unit nurse is reviewing laboratory results for a client who is scheduled for an operative procedure later in the day.
 
  The nurse notes on the laboratory report that the client has a serum potassium level of 6.5 mEq/L, indicative of hyperkalemia. The nurse informs the physician of this laboratory result because the nurse recognizes hyperkalemia increases the client's operative risk for which of the following?
 
  A) Cardiac problems
  B) Infection
  C) Bleeding and anemia
  D) Fluid imbalances

[juwms]

Answer to Question 1

Ans: A
Clients with a large habitual intake of alcohol require larger doses of anesthetic agents and postoperative analgesics, increasing the risk for drug-related complications.

Answer to Question 2

Ans: A
Hyperkalemia or hypokalemia increases the client's risk for cardiac problems. A decrease in the hematocrit and hemoglobin level may indicate the presence of anemia or bleeding. An elevated white blood cell count occurs in the presence of infection. Abnormal urine constituents may indicate infection or fluid imbalances.