A patient is scheduled for an operative procedure in which ...

[Engineer]

A patient is scheduled for an operative procedure in which isoflurane (Forane) will be used as the anesthetic agent. The nurse would immediately collaborate with the anesthesiologist if the patient makes which statements? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. I stopped taking my vitamin C supplement last week because it upset my stomach.
  2. I have been so depressed about having this surgery. I don't think my St. John's wort is helping at all.
  3. I have not eaten anything since before my CT scan yesterday.
  4. My brother ran a high fever and had seizures after his surgery.
  5. My last dose of levodopa was yesterday.

Question 2

A patient has been prescribed ferrous sulfate (Feosol). What should the nurse teach the patient about taking this medication?
 
  1. Take this medication with milk.
  2. It is okay to take this medication along with your other medications, such as calcium.
  3. Take this medication with orange juice.
  4. Take this medication with water.

[EAN94]

Answer to Question 1

2,4
Rationale 1: There is no contraindication between vitamin C therapy and use of isoflurane (Forane).
Rationale 2: St. John's wort should be discontinues 2 to 3 weeks prior to administration of isoflurane (Forane) due to possible risk of hypotension.
Rationale 3: Being NPO for surgery is a standard treatment.
Rationale 4: High fever and seizures might indicate that the brother had malignant hyperthermia. If so, the patient may have a genetic tendency. Additional investigation should be done.
Rationale 5: Levodopa should be discontinued 6 to8 hours before isoflurane (Forane) administration.

Global Rationale: St. John's wort should be discontinues 2 to 3 weeks prior to administration of isoflurane (Forane) due to possible risk of hypotension. High fever and seizures might indicate that the brother had malignant hyperthermia. If so, the patient may have a genetic tendency. Additional investigation should be done. There is no contraindication between vitamin C therapy and use of isoflurane (Forane). Being NPO for surgery is a standard treatment. Levodopa should be discontinued 6 to8 hours before isoflurane (Forane) administration.

Answer to Question 2

4
Rationale 1: Taking with milk would decrease absorption.
Rationale 2: Several medications can increase or decrease absorption.
Rationale 3: Taking with orange juice can increase gastric irritations.
Rationale 4: While taking this medication with food or other drinks will reduce gastric irritation, the absorption will also be decreased significantly.
Global Rationale: While taking this medication with food or other drinks will reduce gastric irritation, the absorption will also be decreased significantly. Taking with milk would decrease absorption. Several medications can increase or decrease absorption. Taking with orange juice can increase gastric irritations.

[Engineer]

Excellent

[okolip]

Gracias!