Author Question: Which is a complication that can occur after abdominal surgery if pain is not managed? a. ... (Read 72 times)

Kikoku · **on:** Jun 28, 2018

Which is a complication that can occur after abdominal surgery if pain is not managed?

a. Atelectasis
b. Hypoglycemia
c. Decrease in heart rate
d. Increase in cardiac output

Question 2

A burn patient is experiencing anxiety over dressing changes. Which prescription should the nurse expect to be ordered to control anxiety?

a. Lorazepam (Ativan)
b. Oxycodone (OxyContin)
c. Fentanyl (Sublimaze)
d. Morphine Sulfate (Morphine)

kishoreddi · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
Pain associated with surgery in the abdominal region (e.g., appendectomy, cholecystectomy, splenectomy) may result in pulmonary complications. Pain leads to decreased muscle movement in the thorax and abdominal area and leads to decreased tidal volume, vital capacity, functional residual capacity, and alveolar ventilation. The patient is unable to cough and clear secretions, and the risk for complications such as pneumonia and atelectasis is high. Severe postoperative pain also results in sympathetic overactivity, which leads to increases in heart rate, peripheral resistance, blood pressure, and cardiac output. Hypoglycemia, decreases in heart rate, and increases in cardiac output are not complications of poor pain management.

Answer to Question 2

ANS: A
A benzodiazepine such as lorazepam is prescribed as an antianxiety agent. Oxycodone, fentanyl, and morphine sulfate are opioid analgesics.