Author Question: A patient is scheduled for surgery in 2 hours. The physician orders preoperative medications ... (Read 79 times)

mydiamond · **on:** Jul 23, 2018

A patient is scheduled for surgery in 2 hours. The physician orders preoperative medications glycopyrrolate (Robinul) 1 mg and meperidine (Demerol) 50 mg intramuscularly.

The nurse would hold the medication and consult the provider if the patient had what disorder? A) Tachycardia
B) Paralytic ileus
C) Hypertension
D) Diabetes mellitus

Question 2

The anatomy and physiology teacher is discussing ventilation with the nursing students. What would the instructor say causes an increased respiratory rate?

A) Increased stimulation of the respiratory center
B) Decreased stimulation of the respiratory center
C) Increased O2
D) Decreased pH

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

Answer to Question 1

B
Feedback:
These drugs are also contraindicated with any condition that could be exacerbated by blockade of the parasympathetic nervous system. These conditions include stenosing peptic ulcer, intestinal atony, paralytic ileus, gastrointestinal (GI) obstruction, severe ulcerative colitis, and toxic megacolon, all of which could be exacerbated with a further slowing of GI activity. Tachycardia, hypertension, and diabetes would not be contraindications to administration of glycopyrrolate.

Answer to Question 2

A
Feedback:
Respiration, or the act of breathing to allow gas exchange, is controlled by the central nervous system. The inspiratory musclesdiaphragm, external intercostal muscles, and abdominal musclesare stimulated to contract by the respiratory center in the medulla. The medulla receives input from chemoreceptors (neuroreceptors sensitive to carbon dioxide and acid levels) to increase the rate and/or depth of respiration to maintain homeostasis in the body.