Author Question: An operating room nurse is preparing a client for endotracheal intubation. The anesthesiologist has ... (Read 82 times)

mydiamond · **on:** Jul 22, 2018

An operating room nurse is preparing a client for endotracheal intubation. The anesthesiologist has ordered an anticholinergic medication for this client. Which of the following is an action of this medication?

A) It promotes induction of anesthesia.
B) It decreases gastric acidity and volume.
C) It promotes sleep or conscious sedation.
D) It decreases respiratory secretions.

Question 2

A client is scheduled for discharge from the hospital and her primary care provider has prescribed subcutaneous injections of an anticoagulant for the next 10 days.

The nurse has to teach the client how to correctly self-administer the medication but the client speaks very little English. How should the nurse meet this client's learning needs? A) Write out the instructions in English and arrange for the pharmacy to have them translated
B) Arrange for a professional interpreter to be present when the nurse performs client education
C) Demonstrate the correct technique for injecting the medication while relying on nonverbal communication
D) Find a web site in the client's language that shows correct technique and provide the client with the address

duy1981999 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
Feedback:
An anticholinergic medication decreases respiratory secretions and prevents vagal nerve stimulation during endotracheal intubation. Antianxiety drugs slow down motor activity and promote the induction of anesthesia. Histamine-2 receptor antagonists decrease gastric acidity and volume. Sedatives promote sleep or conscious sedation.

Answer to Question 2

B
Feedback:
Language barriers do not justify omitting health teaching. In most cases, if neither the nurse nor the client speaks a compatible language, a translator or acceptable alternative is needed. It would be inappropriate to limit teaching to nonverbal communication or a web site address. Client education should not be delegated to the pharmacist.