Author Question: A patient is scheduled for an exploratory laparoscopy. She has been prescribed an anticholinergic ... (Read 67 times)

SO00 · **on:** Jul 23, 2018

A patient is scheduled for an exploratory laparoscopy. She has been prescribed an anticholinergic agent. Why is it important to administer the anticholinergic agent in the preoperative phase?

A) It will prevent tachycardia.
B) It will decrease respiratory secretions.
C) It will decrease gastric motility.
D) It relaxes the detrusor muscle.

Question 2

The nurse is preparing to administer gentamicin (Garamycin) to a patient when he mentions that he has recently been experiencing diminished hearing. What action should the nurse take based on this statement?

A) Administer the dosage and notify the physician of the alteration in hearing.
B) Hold the dosage and notify the physician of the alteration in hearing.
C) Administer the dosage and report the alteration in hearing to the audiologist.
D) Hold the dosage and document the finding in the nurses' notes.

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

Answer to Question 1

B

Answer to Question 2

B
Feedback:
Aminoglycosides accumulate in high concentrations in the inner ear, damaging sensory cells in the cochlea and vestibular apparatus. The medication should be held and alteration in hearing reported to the physician. The administration of the medication will only cause more damage to the cochlea and vestibular apparatus. Holding the medication and documenting the information in the nurses' notes will not allow for a new anti-infective to be administered and for the hearing to be assessed.