This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient will receive intravenous midazolam (Versed) combined with fentanyl while undergoing an ... (Read 74 times)

Mr3Hunna

  • Hero Member
  • *****
  • Posts: 536
on: Jul 23, 2018
A patient will receive intravenous midazolam (Versed) combined with fentanyl while undergoing an endoscopic procedure. The nurse is explaining the reasons for this to a nursing student before the procedure.
 
  Which statement by the student indicates understanding of the teaching?
  a. The patient may appear anxious and restless during the procedure.
  b. The patient will be unconscious during the procedure.
  c. The patient will not need cardiorespiratory support during the procedure.
  d. The patient will not remember the procedure.

Question 2

An anesthesiologist completes preoperative teaching for a patient the night before surgery. The patient asks the nurse to clarify the reason thiopental sodium will be given as an adjunct to the anesthetic.
 
  Which statement by the patient indicates understanding?
  a. Pentothal allows a larger amount of inhaled anesthetic to be used without increased side effects.
  b. Pentothal is given to enhance the analgesic and muscle relaxation effects of the inhaled anesthetic.
  c. Pentothal is used to produce rapid unconsciousness before administration of the inhaled anesthetic.
  d. Pentothal is used to reduce cardiovascular and respiratory depression caused by the inhaled anesthetic.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Bigfoot1984

  • Sr. Member
  • ****
  • Posts: 321
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
Midazolam, combined with an opioid analgesic, is used for conscious sedation for minor surgeries and endoscopic procedures. It does not cause anesthesia during this state, which is characterized by sedation, analgesia, amnesia, and lack of anxiety. The patient will not remember the events even though the person will be able to respond to commands during the procedure. The patient will appear unperturbed and passive and not anxious or restless. The patient is sedated, not unconscious. Midazolam can cause dangerous cardiorespiratory effects, including respiratory depression and respiratory and cardiac arrest.

Answer to Question 2

ANS: C
Thiopental sodium, a short-acting barbiturate, is given intravenously for induction of anesthesia. It has a rapid onset and short duration and must be followed immediately by an inhalation anesthetic. It does not alter the side effects of inhalation anesthetics. Most adjuncts to inhalation anesthetics are given so that lower doses of the anesthetic may be used. Thiopental sodium has very weak analgesic and muscle relaxation effects. Thiopental sodium causes cardiovascular and respiratory depression.


Mr3Hunna

  • Member
  • Posts: 536
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

olderstudent

  • Member
  • Posts: 339
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

For pediatric patients, intravenous fluids are the most commonly cited products involved in medication errors that are reported to the USP.

Did you know?

There can actually be a 25-hour time difference between certain locations in the world. The International Date Line passes between the islands of Samoa and American Samoa. It is not a straight line, but "zig-zags" around various island chains. Therefore, Samoa and nearby islands have one date, while American Samoa and nearby islands are one day behind. Daylight saving time is used in some islands, but not in others—further shifting the hours out of sync with natural time.

Did you know?

Disorders that may affect pharmacodynamics include genetic mutations, malnutrition, thyrotoxicosis, myasthenia gravis, Parkinson's disease, and certain forms of insulin-resistant diabetes mellitus.

Did you know?

The Babylonians wrote numbers in a system that used 60 as the base value rather than the number 10. They did not have a symbol for "zero."

Did you know?

Earwax has antimicrobial properties that reduce the viability of bacteria and fungus in the human ear.

Defensive mutualism involves species that receive food or shelter in return for providing protection Defensive mutualism involves species that receive food or shelter in return for providing protection
Palpating the thyroid gland from behind the patient is a most effective way of assessing the gland f Palpating the thyroid gland from behind the patient is a most effective way of assessing the gland f
Patient teaching: mouth and pharyngeal assessment Patient teaching: mouth and pharyngeal assessment
Preoperative and Postoperative Patient Instructions Preoperative and Postoperative Patient Instructions
A partnership between the patient and the health care provider. A partnership between the patient and the health care provider.
Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 1) Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 1)
Video: Parathyroid hormone (bone resorption) & Calcitonin (bone deposition)

For a complete list of videos, visit our video library