Which statement correctly identifies the initial use for an IV in ...

[Ebrown]

Which statement correctly identifies the initial use for an IV in a patient undergoing a lengthy abdominal surgery that requires general anesthesia?
 
  1. To administer agents that will produce rapid unconsciousness
  2. To administer reversal agents or other medications used to treat the adverse effects associated with general anesthesia
  3. To administer large amounts of colloid solutions following surgical blood loss
  4. To administer a volatile liquid that will keep the patient asleep

Question 2

The client has chronic alcoholism. He asks the nurse why his doctor put him on folic acid (Folvite) since he promised the doctor that he would stop drinking. What is the best response by the nurse?
 
  1. You should ask your doctor since you promised him that you would not drink anymore.
  2. You have been drinking instead of eating, and alcohol interferes with folate metabolism in your liver.
  3. You need folic acid to make up for the vitamin B12 deficiency that was caused by your alcoholism.
  4. You need folic acid because you have not been compliant with taking your vitamins and attending Alcoholics Anonymous (AA) meetings.

[morrie123456]

Answer to Question 1

1
Rationale 1: IV lines are started prior to surgical procedures requiring general anesthesia to administer agents that will cause rapid loss of consciousness.
Rationale 2: The IV may be used to treat adverse effects but this is not an initial use.
Rationale 3: The IV may be used to administer replacement fluids, but this is not an initial use.
Rationale 4: Volatile liquids are inhaled gases.
Global Rationale: IV lines are started prior to surgical procedures requiring general anesthesia to administer agents that will cause rapid loss of consciousness. The IV also may be used to treat adverse effects and administer replacement fluids, but these would not be initial uses. Volatile liquids are inhaled gases.

Answer to Question 2

2
Rationale 1: Referring the client back to the physician is inappropriate; the nurse can answer this question.
Rationale 2: Insufficient folic acid can manifest itself as anemia. This is often observed in chronic alcoholism, since alcoholics consume alcohol instead of eating nutritious foods. Alcohol interferes with folate metabolism in the liver.
Rationale 3: Folic acid anemia is not caused by a vitamin B12 deficiency.
Rationale 4: The client needs folic acid because his liver cannot metabolize folate, not because he has missed his vitamins and Alcoholics Anonymous (AA) meetings.
Global Rationale: Insufficient folic acid can manifest itself as anemia. This is often observed in chronic alcoholism, since alcoholics consume alcohol instead of eating nutritious foods. Alcohol interferes with folate metabolism in the liver. Referring the client back to the physician is inappropriate; the nurse can answer this question. Folic acid anemia is not caused by a vitamin B12 deficiency. The client needs folic acid because his liver cannot metabolize folate, not because he has missed his vitamins and Alcoholics Anonymous (AA) meetings.

[Ebrown]

Both answers were spot on, thank you once again

[morrie123456]

Great! Please up vote