Exam 1 Complex

Front

A client receiving general anesthesia has an increase in body temperature during the procedure. Which medication will the nurse recognize as a likely contributor to malignant hyperthermia? Options: Morphine, Ketamine, Isoflurane, Oxygen

Back

Isoflurane

Front

The advance nurse practitioner, who is treating a client diagnosed with neuropathic pain, decides to start adjuvant analgesic agent therapy. Which medication is appropriate for the nurse practitioner to prescribe? Options: Tramadol, Ketamine, Gabapentin, Hydromorphone

Back

Gabapentin

Front

A nurse is monitoring a client recovering from a moderate sedation that was administered during a colonoscopy. Which finding requires the nurse's immediate attention? Heart rate of 84 beats/minute, Oxygen saturation of 85%, Decreased cough reflexes, Blood-tinged stools

Back

Oxygen saturation of 85%

Front

A nurse is caring for a client in the PACU after surgery requiring general anesthesia. The client tells the nurse, "I think I'm going to be sick." What is the primary action taken by the nurse?

Back

Position the client in the side lying position

Front

A PACU nurse is caring for a postoperative client who received general anesthesia and has a hard, plastic oral airway in place. The client has clear lung sounds, even and unlabored respirations of 16, and 98% oxygen saturation. The client is minimally responsive to pain stimuli. What action by the nurse is most appropriate?

Back

Continue with frequent client assessments

Front

A postoperative client is moving from the bed to a chair when blood drips from the dressing. The nurse assesses the incision and notes evisceration. What does the nurse do first?

Back

Cover the protruding organ with sterile dressing moistened with sterile saline

Front

The nurse is taking the client into the operating room (OR) when the client informs the nurse that the client's grandparent spiked a very high temperature in the OR and nearly died 15 years ago. What relevance does this information have regarding the client?

Back

The client might be at risk for a malignant hyperthermia

Front

The nurse is caring for a client in the post-anesthesia care unit (PACU) with vital signs: pulse 115, respirations 20, oral temperature 97.2, blood pressure 84/50. What should the nurse do first?

Back

Assess for bleeding

Front

What does the nurse recognize as one of the most common postoperative respiratory complications in elderly clients?

Back

Hypoxemia

Front

The nurse is performing the shift assessment of a post-surgical client. The nurse finds the client's mental status level of consciousness, speech, and orientation are intact and at baseline, but the client appears unusually restless. What should the nurse do next?

Back

Assess the client's oxygen levels