Practice Quiz

CNOR Operating Room Nursing

Category - Emergencies

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During a laparoscopic abdominal procedure, a patient has been placed in the reverse Trendelenburg position and given anesthesia. The patient begins to develop hypotension and their blood pressure drops to 96/52 mmHg. What is the first intervention of the nurse?
  1. Open the intravenous line to instill more fluids.
  2. Change the bed position so the patient’s head is level.
  3. Call the Blood Bank for volume expanders to treat hypotension.
  4. Increase the CO2 rate on the insufflator.
Explanation
Answer: B-The nurse should change the bed position so the patient’s head is level. This condition may have occurred due to insufflation for a laparoscopic procedure. Insufflation may cause increased peripheral resistance and the reverse Trendelenburg position reduces venous return. When changing the patient’s position, the nurse should also turn the CO2 rate down on the insufflator.
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