Answer to Question 1
D
The physician is preparing to use infiltration anesthesia by injecting the local anesthetic directly into the immediate area of surgery. Epinephrine can be used in some cases but should never be used in areas supplied by end arteries, such as the penis, toes, fingers, nose, or ears, because re-striction of blood flow in these areas can result in gangrene. Injectable agents are appropriate for this procedure. The nurse should not draw up the medication as requested, because the combina-tion of agents can harm the patient. Seizure precautions are not necessary.
Answer to Question 2
B
This patient is showing signs of iron deficiency anemia, as manifested by tachycardia and pallor. Because this patient's blood pressure is low, the anemia probably has occurred secondary to blood loss, a common occurrence with hip replacement surgery. The first response should be to obtain an H&H to assess the anemia. GI hemorrhage is not a concern in this patient; black stools are an expected effect of oral iron administration. A stool guaiac is not indicated. If the patient has blood loss that is causing hypotension, an isotonic fluid bolus and packed red blood cells (PRBCs) are indicated to treat this.
The nurse needs to note the source of the patient health history
The surgical nurse assists the client into the correct position
A physician is performing a colonoscopy on a client and viewing the internal structures of the colon
Performing a Urine Pregnancy Test Using the Enzyme Immunoassay Method
Three Plank Masks, Buffalo Mask, and Serpent Mask Performing in the Town Of Dossi