Isoflurane (Forane) was administered as anesthesia for a client ...

[leilurhhh]

Isoflurane (Forane) was administered as anesthesia for a client who had abdominal surgery. During postanesthesia recovery, the client begins to shiver. What should the nurse do?
 
  Standard Text: Select all that apply.
  1. Check the client's temperature.
  2. Notify the anesthesiologist immediately.
  3. Put warm blankets on the client.
  4. Assure the client that shivering is common.
  5. Administer prn pain medication.

Question 2

During review of postoperative medical orders, the nurse notes an order for ondansetron (Zofran) prn. When would the nurse expect to administer this medication?
 
  Standard Text: Select all that apply.
  1. If the client has temperature elevation
  2. If the client complains of nausea
  3. Approximately 30 minutes before the end of the procedure
  4. If the client reports breakthrough pain between regular pain medication administration
  5. Just before the first dressing change

[nital]

Answer to Question 1

Correct Answer: 3,4
Rationale 1: It is unlikely that the client's temperature is causing this shivering.
Rationale 2: There is no reason to notify the anesthesiologist with this information.
Rationale 3: Warm blankets may be applied for client comfort.
Rationale 4: Shivering is common after receiving isofurane.
Rationale 5: This shivering does not generally correlate with pain.
Global Rationale: Shivering is common after receiving isofurane and warm blankets may be applied for client comfort. It is unlikely that the client's temperature is causing this shivering. There is no reason to notify the anesthesiologist with this information. This shivering does not generally correlate with pain.

Answer to Question 2

Correct Answer: 2,3
Rationale 1: This medication is not used for temperature elevation.
Rationale 2: Ondansetron (Zofran) is used as an antiemetic.
Rationale 3: If administered approximately 30 minutes before the end of the procedure, acute nausea and vomiting may be avoided.
Rationale 4: Ondansetron (Zofran) is not used for pain control.
Rationale 5: There is no indication for the administration of ondansetron (Zofran) associated with dressing changes.
Global Rationale: Ondansetron (Zofran) is used as an antiemetic. If administered approximately 30 minutes before the end of the procedure, acute nausea and vomiting may be avoided. This medication is not used for temperature elevation or pain control. There is no indication for the administration of ondansetron (Zofran) associated with dressing changes.

[leilurhhh]

TYSM

[dantucker]

Gracias!