This topic contains a solution. Click here to go to the answer

Author Question: A patient who has history of severe arteriosclerosis has sustained a laceration on the forearm that ... (Read 37 times)

Pineappleeh

  • Hero Member
  • *****
  • Posts: 585
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.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

mathjasmine

  • Sr. Member
  • ****
  • Posts: 312
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

  • Hero Member
  • *****
  • Posts: 585
Both answers were spot on, thank you once again




 

Did you know?

Vital signs (blood pressure, temperature, pulse rate, respiration rate) should be taken before any drug administration. Patients should be informed not to use tobacco or caffeine at least 30 minutes before their appointment.

Did you know?

To maintain good kidney function, you should drink at least 3 quarts of water daily. Water dilutes urine and helps prevent concentrations of salts and minerals that can lead to kidney stone formation. Chronic dehydration is a major contributor to the development of kidney stones.

Did you know?

Computer programs are available that crosscheck a new drug's possible trade name with all other trade names currently available. These programs detect dangerous similarities between names and alert the manufacturer of the drug.

Did you know?

The first oral chemotherapy drug for colon cancer was approved by FDA in 2001.

Did you know?

People often find it difficult to accept the idea that bacteria can be beneficial and improve health. Lactic acid bacteria are good, and when eaten, these bacteria improve health and increase longevity. These bacteria included in foods such as yogurt.

For a complete list of videos, visit our video library