A patient who has history of severe arteriosclerosis has ...

[Pineappleeh]

A patient who has history of severe arteriosclerosis has sustained a laceration on the forearm that will be repaired in the emergency department. The nurse would plan to obtain a local anesthetic with which properties? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. With no epinephrine
  2. With sodium bicarbonate
  3. Without lidocaine
  4. With a volatile liquid
  5. With proparacaine (Alcaine)

Question 2

The client calls the nurse and is very frantic. I think something is wrong My stools are black, and they have never been this color before The client is receiving ferrous sulfate (Feosol). What is the best response by the nurse?
 
  1. This is an expected side effect of ferrous sulfate (Feosol); it is okay.
  2. This sounds serious; you may have started bleeding again.
  3. Do you have hemorrhoids? That could be the problem.
  4. I will speak with your doctor and call you right back.

[mathjasmine]

Answer to Question 1

1,2
Rationale 1: Local anesthetics with epinephrine are not typically used for patients with cardiac diseases.
Rationale 2: Sodium bicarbonate is often used to retard bacterial growth.
Rationale 3: There is no reason to avoid lidocaine in this patient.
Rationale 4: Volatile liquids are used for inhalation anesthesia.
Rationale 5: Proparacaine (Alcaine) is used for ocular procedures.

Global Rationale: Local anesthetics with epinephrine are not typically used for patients with cardiac diseases. Sodium bicarbonate is often used to retard bacterial growth. There is no reason to avoid lidocaine in this patient. Volatile liquids are used for inhalation anesthesia. Proparacaine (Alcaine) is used for ocular procedures.

Answer to Question 2

1
Rationale 1: Ferrous sulfate (Feosol) will turn stools a harmless, dark green or black color; this is an expected side effect of the medication.
Rationale 2: To tell a client that this sounds serious is non-therapeutic, as the nurse should know that black stools are an expected side effect of the drug.
Rationale 3: Hemorrhoids are unlikely the problem; they would cause bright red color in the stool.
Rationale 4: There is no need to call the physician; this is an expected side effect of the drug.
Global Rationale: Ferrous sulfate (Feosol) will turn stools a harmless, dark green or black color; this is an expected side effect of the medication. To tell a client that this sounds serious is non-therapeutic, as the nurse should know that black stools are an expected side effect of the drug. Hemorrhoids are unlikely the problem; they would cause bright red color in the stool. There is no need to call the physician; this is an expected side effect of the drug.

[Pineappleeh]

Both answers were spot on, thank you once again

[mathjasmine]

Great! Please up vote