The nurse learns that a patient will receive an infusion of Propofol for a procedure. The nurse knows that the following will increase risk for adverse effects with this infusion:
History of hyperlipidemia.
History of congestive heart failure
History of breast cancer
History of arthritis
The Correct Answer is A
Choice A rationale: Propofol is formulated in a lipid emulsion that can increase the serum triglyceride levels and cause pancreatitis, especially in patients with preexisting hyperlipidemia.
Choice B rationale: History of hyperlipidemia is not typically associated with an increased risk of adverse effects with propofol infusion.
Choice C rationale: History of breast cancer is not directly associated with an increased risk of adverse effects with propofol infusion.
Choice D rationale: History of arthritis is not directly associated with an increased risk of adverse effects with propofol infusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Physical dependence is a state where the body has adapted to the presence of the opioid, and abrupt cessation may lead to withdrawal symptoms. However, the patient's statement indicates tolerance more than physical dependence.
Choice B rationale: The patient is at risk for tolerance, which is the need for an increased dose of a substance to achieve the same effect. This is common in chronic opioid therapy.
Choice C rationale: Abstinence syndrome is another term for withdrawal syndrome, and this is more associated with sudden cessation of opioids.
Correct Answer is B
Explanation
Choice A rationale: A sore throat in a patient taking immunosuppressive medications requires further assessment and intervention beyond home remedies.
Choice B rationale: Assessing for fever is crucial, as an infection in a patient on immunosuppressive therapy can be serious and requires prompt attention.
Choice C rationale: Stopping cyclosporine abruptly without guidance from the provider can lead to rejection; this decision should be made by the healthcare provider.
Choice D rationale: Reassurance alone may not be appropriate, given the potential seriousness of infection in an immunocompromised patient.
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