Answer to Question 1
ANS: A
Malignant hyperthermia is a rare but serious reaction to anesthesia. The triad of early signs include decreased oxygen saturation, tachycardia, and elevated end-tidal carbon dioxide (CO2) level. The nurse should quickly check the end-tidal CO2 and then report findings to the anesthesia provider and surgeon. Documentation is vital, but not the most important action at this stage. Dantrolene sodium is the drug of choice if the client does have malignant hyperthermia.
Answer to Question 2
ANS: B
During stage 2 of general anesthesia (excitement, delirium), the client can vomit and aspirate. The nurse must be ready to react to this potential occurrence by being prepared to suction the client's airway. Keeping the room quiet and calm does help the client enter the anesthetic state, but is not the priority. Positioning the client usually occurs during stage 3 (operative anesthesia). Keeping the client warm is important throughout to prevent hypothermia.
The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
Nurse-patient interaction; nonveral communication
GI endoscopy. (a) Similar to other forms of GI endoscopy, laparoscopy involves the insertion of a sp
Tubal ligation. To minimize the size of the incisions necessary, laparoscopic surgery may be used to
Nurse Sandy
The physician orders pemetrexed (Alimta) 500 mg/m2. The client’s body surface area is 2.14 ...