Author Question: A nurse caring for a patient after a cesarean section learns that the patient received isoflurane ... (Read 62 times)

Sportsfan2111 · **on:** Jul 23, 2018

A nurse caring for a patient after a cesarean section learns that the patient received isoflurane Forane during the surgery. What will the nurse monitor most closely in this patient?

a. Hypertension
b. Nausea and vomiting
c. Constipation
d. Uterine tone

Question 2

While preparing a patient for a procedure in which a neuromuscular blocking agent will be used, the nurse reviews the patient's preprocedure laboratory values. Which abnormality would cause the most concern?

a. Hyponatremia
b. Hypercalcemia
c. Hypomagnesemia
d. Hypokalemia

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

Answer to Question 1

D
Although having only moderate effects on skeletal muscles, isoflurane does promote relaxation of uterine smooth muscle; when used in obstetrics, isoflurane may delay delivery and possibly increase postpartum bleeding, so the nurse should monitor uterine tone. Isoflurane may cause hypotension. Nausea, vomiting, and constipation are not concerns.

Answer to Question 2

D
Low potassium levels can enhance paralysis, whereas high potassium levels can reduce paralysis. Because electrolyte status can influence the depth of neuromuscular blockade, it is important to maintain normal electrolyte balance. There are no indications that sodium, calcium, and/or mag-nesium have effects similar to those of potassium in relation to neuromuscular blocking agents.