Author Question: The recovery room nurse is preparing to assist with the care of several postoperative patients. ... (Read 40 times)

Awilson837 · **on:** Jul 24, 2018

The recovery room nurse is preparing to assist with the care of several postoperative patients. Which patient would the nurse prioritize care for regarding the potential for postoperative nausea and vomiting (PONV)?

a. A 5-year-old child undergoing a closed reduction procedure with regional anesthesia
b. A 50-year-old woman undergoing a total hysterectomy with general anesthesia
c. A 27-year-old man undergoing a middle ear manipulation with general anesthesia
d. An 80-year-old man undergoing a total hip replacement with spinal anesthesia

Question 2

The nurse is administering medications to various patients during morning medication pass. The patient at the lowest risk of having an adverse reaction is the patient receiving

a. ondansetron.
b. scopolamine.
c. promethazine.
d. dexamethasone.

Kingjoffery · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: B
Women have a higher incidence of PONV, possibly because of hormonal differences. Patients who have had general anesthesia have a higher incidence of PONV than those who have had regional anesthesia. Children ages 11 to 14 years have the highest incidence of PONV based on age group. Spinal anesthesia is generally least emetogenic.

Answer to Question 2

ANS: D
Dexamethasone is a corticosteroid. A particular advantage of the steroids, apart from their efficacy, is their relative lack of adverse effects. Ondansetron, scopolamine, and promethazine have more associated side effects than dexamethasone.