This topic contains a solution. Click here to go to the answer

Author Question: A nurse is caring for an intubated patient who is receiving pancuronium for neuromuscular blockade. ... (Read 153 times)

SGallaher96

  • Hero Member
  • *****
  • Posts: 509
A nurse is caring for an intubated patient who is receiving pancuronium for neuromuscular blockade. The patient's eyes are closed, and the patient is not moving any extremities.
 
  The heart rate is 76 beats per minute, and the blood pressure is 110/70 mm Hg. The nurse caring for this patient will do what? a. Request an order for an antihistamine to prevent a further drop in blood pressure.
  b. Request an order for serum electrolytes to evaluate for hyperkalemia.
  c. Review the patient's chart for a history of myasthenia gravis (MG).
  d. Talk to the patient while giving care and explain all procedures.

Question 2

The nurse assesses a newly diagnosed patient for short-term complications of diabetes. What does this assessment include?
 
  a. Evaluation for hyperglycemia, hypogly-cemia, and ketoacidosis
  b. Cranial nerve testing for peripheral neu-ropathy
  c. Pedal pulse palpation for arterial insuffi-ciency
  d. Auscultation of the carotids for bruits as-sociated with atherosclerosis



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ong527

  • Sr. Member
  • ****
  • Posts: 285
Answer to Question 1

D
Pancuronium is a competitive neuromuscular blocker and is used to paralyze skeletal muscles by neuromuscular blockade. The first muscles affected are those of the eyelids, so patients given this medication cannot open their eyes. Inability to move the extremities is an expected effect. Because these medications do not have central nervous system (CNS) effects, the patient is con-scious and awake; therefore, caregivers should continue to talk to the patient while providing care. Atracurium, not pancuronium, can cause hypotension secondary to histamine release. High potassium levels would reduce paralysis. Patients with a history of MG would have increased paralysis. Nothing indicates that this patient is experiencing extreme effects from this medication.

Answer to Question 2

A
High blood sugar, low blood sugar, and ketoacidosis are short-term complications of diabetes. Microvascular and macrovascular complications, such as peripheral neuropathy, are long-term complications of diabetes. Arterial insufficiency and atherosclerosis also are long-term compli-cations of diabetes.





 

Did you know?

Vaccines cause herd immunity. If the majority of people in a community have been vaccinated against a disease, an unvaccinated person is less likely to get the disease since others are less likely to become sick from it and spread the disease.

Did you know?

About 100 new prescription or over-the-counter drugs come into the U.S. market every year.

Did you know?

All patients with hyperparathyroidism will develop osteoporosis. The parathyroid glands maintain blood calcium within the normal range. All patients with this disease will continue to lose calcium from their bones every day, and there is no way to prevent the development of osteoporosis as a result.

Did you know?

A recent study has found that following a diet rich in berries may slow down the aging process of the brain. This diet apparently helps to keep dopamine levels much higher than are seen in normal individuals who do not eat berries as a regular part of their diet as they enter their later years.

Did you know?

According to the American College of Allergy, Asthma & Immunology, more than 50 million Americans have some kind of food allergy. Food allergies affect between 4 and 6% of children, and 4% of adults, according to the CDC. The most common food allergies include shellfish, peanuts, walnuts, fish, eggs, milk, and soy.

For a complete list of videos, visit our video library