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 182 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?

The first oncogene was discovered in 1970 and was termed SRC (pronounced "SARK").

Did you know?

There are immediate benefits of chiropractic adjustments that are visible via magnetic resonance imaging (MRI). It shows that spinal manipulation therapy is effective in decreasing pain and increasing the gaps between the vertebrae, reducing pressure that leads to pain.

Did you know?

Warfarin was developed as a consequence of the study of a strange bleeding disorder that suddenly occurred in cattle on the northern prairies of the United States in the early 1900s.

Did you know?

Giardia is one of the most common intestinal parasites worldwide, and infects up to 20% of the world population, mostly in poorer countries with inadequate sanitation. Infections are most common in children, though chronic Giardia is more common in adults.

Did you know?

It is believed that humans initially contracted crabs from gorillas about 3 million years ago from either sleeping in gorilla nests or eating the apes.

For a complete list of videos, visit our video library