Author Question: For which client would the nurse anticipate the use of a local anesthetic? 1. A client with an ... (Read 72 times)

mckennatimberlake · **on:** Jul 23, 2018

For which client would the nurse anticipate the use of a local anesthetic?

1. A client with an umbilical hernia
2. A client scheduled for a laparoscopic cholecystectomy
3. A client scheduled for a repeat cesarean section
4. A client with a scalp laceration

Question 2

A client has been treated for a migraine headache, given a prescription for sumatriptan (Imitrex), and is being dismissed from the clinic.

Which client statements would the nurse evaluate as meeting the goal that, prior to dismissal, the client will verbalize symptoms that indicate the need to contact the health care professional?
Standard Text: Select all that apply.
1. I should report any tightness in my chest.
2. I should expect some dizziness and blurred vision until I get acclimated to this drug, so that should not be reported.
3. If I get a headache after drinking alcoholic beverages, I should notify my health care provider.
4. If I get a really bad headache, I should report it.
5. If I notice a rash when I have a headache, I should report it.

ghepp · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: An umbilical hernia repair most likely would be completed with general anesthesia.
Rationale 2: A laparoscopic cholecystectomy most likely would be completed with general anesthesia.
Rationale 3: A client undergoing a repeat cesarean section would have regional anesthesia, such as a spinal or possibly an epidural.
Rationale 4: Local anesthesia is applied to the skin or mucous membranes, resulting in loss of sensation to the immediate area.
Global Rationale: Local anesthesia is applied to the skin or mucous membranes, resulting in loss of sensation to the immediate area. An umbilical hernia repair and a laparoscopic cholecystectomy would most likely would be completed with general anesthesia. A client undergoing a repeat cesarean section would have regional anesthesia, such as a spinal or possibly an epidural.

Answer to Question 2

Correct Answer: 1,4,5
Rationale 1: Triptans and ergot alkaloids cause vasoconstriction. Persons at risk for cardiovascular disease need close monitoring.
Rationale 2: Dizziness, light-headedness, or blurred vision should be reported immediately as it is impossible to determine if the symptoms are drug related, related to the migraine, or signal cerebral ischemia.
Rationale 3: Alcoholic beverages are a known migraine trigger. It is not necessary to notify the health care provider.
Rationale 4: Changes in severity, character, or duration of headaches should be reported because they may not be migraines.
Rationale 5: Fever, rash, or stiff neck may indicate meningitis.
Global Rationale: Triptans and ergot alkaloids cause vasoconstriction. Persons at risk for cardiovascular disease need close monitoring. Changes in severity, character, or duration of headaches should be reported because they may not be migraines. Fever, rash, or stiff neck may indicate meningitis. Dizziness, light-headedness, or blurred vision should be reported immediately as it is impossible to determine if the symptoms are drug related, related to the migraine, or signal cerebral ischemia. Alcoholic beverages are a known migraine trigger. It is not necessary to notify the health care provider.