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: Atropine is not primarily used to prevent anxiety. Its main use is to increase heart rate by blocking vagal effects on the heart.
Choice B rationale: Atropine is commonly used to prevent or treat bradycardia, particularly during anesthesia induction, when vagal stimulation can lead to significant slowing of the heart rate.
Choice C rationale: Dry mouth is a common side effect of atropine, not its primary use. Atropine is not given to prevent dry mouth.
Choice D rationale: Atropine is not used to prevent hypertension. Its primary cardiovascular effect is to increase heart rate.
Correct Answer is C
Explanation
Choice A rationale: Epinephrine is not an antagonist for benzodiazepines. It is primarily used in the treatment of anaphylaxis and cardiac arrest.
Choice B rationale: Atropine is not an antagonist for benzodiazepines. It is used to increase heart rate and treat certain types of poisoning.
Choice C rationale: Flumazenil is a specific antagonist for benzodiazepines. It can be used to reverse the sedative effects of benzodiazepine overdose, such as in the case of the patient taking an excessive amount of lorazepam.
Choice D rationale: Naloxone is an opioid antagonist and would not be effective in reversing the effects of lorazepam overdose.
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