Author Question: A patient with severe cardiac disorder requires closure of a deep laceration. The nurse would ... (Read 44 times)

sarasara · **on:** Jul 23, 2018

A patient with severe cardiac disorder requires closure of a deep laceration. The nurse would advocate for which plan for analgesia?

1. Plain epinephrine
2. Laceration repair without anesthesia
3. Topical application of lidocaine gel
4. Injected lidocaine without epinephrine

Question 2

The client is receiving medication for the treatment of anemia. The nurse has taught the client about this drug and about anemia. The nurse evaluates that learning has occurred when the client makes which statement?

1. My anemia could be caused by blood loss somewhere, but there are other causes too.
2. My anemia was caused by drinking too many carbonated beverages with caffeine.
3. There are many causes for anemia; mine was caused by heart failure and fluid overload.
4. I think my anemia occurred when I started that vegetarian diet.

nicoleclaire22 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

4
Rationale 1: Epinephrine is not an analgesic.
Rationale 2: Laceration repair is painful and should not be done without anesthesia.
Rationale 3: Topical application would not be sufficient analgesia for repair of a deep laceration.
Rationale 4: Epinephrine extends the time anesthesia is present because it causes vasoconstriction which slows the rate of distribution. It is not necessary for effective anesthesia and is contraindicated in those with severe cardiovascular disorders.
Global Rationale:. Epinephrine extends the time anesthesia is present because it causes vasoconstriction which slows the rate of distribution. It is not necessary for effective anesthesia and is contraindicated in those with severe cardiovascular disorders. Epinephrine is not an analgesic. Laceration repair is painful and should not be done without anesthesia. Topical application would not be sufficient analgesia for repair of a deep laceration.

Answer to Question 2

1
Rationale 1: The three categories of blood loss are hemorrhage, increased erythrocyte destruction, and impaired erythrocyte production.
Rationale 2: Anemia is not caused by too much caffeine.
Rationale 3: Anemia is not caused by heart failure or fluid overload.
Rationale 4: A well-balanced vegetarian diet will not result in anemia.
Global Rationale: The three categories of blood loss are hemorrhage, increased erythrocyte destruction, and impaired erythrocyte production. Anemia is not caused by too much caffeine, heart failure, or fluid overload. A well-balanced vegetarian diet will not result in anemia.