Author Question: A nurse who works in the operating room monitors clients for a number of effects of inhalation ... (Read 74 times)

ishan · **on:** Jul 23, 2018

A nurse who works in the operating room monitors clients for a number of effects of inhalation anesthesia. Which is the most dangerous of these effects?

1. Malignant hypertension
2. An increase in intracranial pressure
3. Malignant hyperthermia
4. Ventricular tachycardia

Question 2

The anesthesiologist has listed succinylcholine (Anectine) as part of a client's anesthesia plan. Noting this, the nurse plans which as a priority assessment for this client?

1. Respiratory paralysis
2. Spontaneous bleeding
3. Anaphylactic shock
4. Emergence delirium

tofugiraffe · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Hypotension is more likely to occur than is hypertension.
Rationale 2: Increased intracranial pressure is an uncommon yet treatable adverse effect.
Rationale 3: Malignant hyperthermia is a rare adverse effect but is difficult to treat and often has an outcome that is fatal or debilitating.
Rationale 4: Ventricular tachycardia is serious, but treatment is relatively easy, often with good outcome.
Global Rationale: Malignant hyperthermia is a rare adverse effect but is difficult to treat and often has an outcome that is fatal or debilitating. Hypotension is more likely to occur than is hypertension. Increased intracranial pressure is an uncommon yet treatable adverse effect. Ventricular tachycardia is serious, but treatment is relatively easy, often with good outcome.

Answer to Question 2

Correct Answer: 1
Rationale 1: Succinylcholine (Anectine) is a neuromuscular blocker that paralyzes muscles, including those of respiration.
Rationale 2: Spontaneous bleeding is not related to this drug.
Rationale 3: An allergic reaction such as anaphylactic shock would be uncommon with this drug.
Rationale 4: Emergence delirium is not associated with this drug.
Global Rationale: Succinylcholine (Anectine) is a neuromuscular blocker that paralyzes muscles, including those of respiration. Spontaneous bleeding is not related to this drug. An allergic reaction such as anaphylactic shock would be uncommon with this drug. Emergence delirium is not associated with this drug.