A patient has inadvertently received two doses of propofol ...

[audragclark]

A patient has inadvertently received two doses of propofol (Diprivan) within 2 minutes of one another. What nursing actions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. Increase intravenous fluid rate.
  2. Monitor the patient closely for development of an allergic skin reaction.
  3. Monitor the patient closely for respiratory depression.
  4. Have serum calcium levels drawn immediately.
  5. Administer a benzodiazepine.

Question 2

In monitoring clients receiving erythropoiesis-stimulating agents, it is most important for the nurse to monitor for
 
  1. thromboembolus.
  2. TIA (transient ischemic attack).
  3. MI (myocardial infarction).
  4. stroke.

[pami445]

Answer to Question 1

1,3
Rationale 1: One of the treatment recommendations for overdose is increasing intravenous fluid rate.
Rationale 2: An allergic skin reaction is not likely and is not a priority.
Rationale 3: Propofol (Diprivan) causes respiratory depression. Close monitoring is indicated.
Rationale 4: There is no reason to have an immediate calcium level drawn.
Rationale 5: Administering a benzodiazepine would complicate the patient's care.

Global Rationale: One of the treatment recommendations for overdose is increasing intravenous fluid rate. Propofol (Diprivan) causes respiratory depression. Close monitoring is indicated. An allergic skin reaction is not likely and is not a priority. . There is no reason to have an immediate calcium level drawn. Administering a benzodiazepine would complicate the patient's care.

Answer to Question 2

1
Rationale 1: Clients are at greater risk for thrombolytic disease, which can result in MI, stroke, and TIA.
Rationale 2: Transient ischemic attack can occur as a result of thromboembolic disease.
Rationale 3: Myocardial infarction can occur as a result of thromboembolic disease.
Rationale 4: Stroke can occur as a result of thromboembolic disease.
Global Rationale: Clients are at greater risk for thrombolytic disease, which can result in MI, stroke, and TIA. Transient ischemic attack can occur as a result of thromboembolic disease. Myocardial infarction can occur as a result of thromboembolic disease. Stroke can occur as a result of thromboembolic disease.

[audragclark]

TYSM

[bdobbins]

Excellent