The Patient Has an Extensive History of Alcoholism

question 20

Multiple Choice

The patient has an extensive history of alcoholism. He is having coronary bypass surgery. While administering anesthesia, the certified nurse anesthetist notes that the patient requires higher-than-usual amounts of the drug. The nurse correctly evaluates this response as what phenomenon?

• A) The nurse anesthetist most likely did not calculate the correct amount of anesthesia for this patient.
• B) The patient has developed a paradoxical reaction to the anesthesia and will require a different drug.
• C) The patient has developed a resistance to the anesthesia, so it will not work very well.
• D) The patient has developed cross-tolerance to the anesthesia and will require higher amounts.

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Definitions:

Family Obligations

Duties or responsibilities that individuals have towards their family members, often culturally or socially defined.

Manifest Content

In psychoanalytic theory, the remembered story line of a dream as opposed to the hidden meaning or latent content.

Night Terrors

A sleep disorder causing feelings of terror or dread, typically occurring during the first hours of stage 3-4 non-REM sleep, leading to gasping, screaming, or confusion upon waking.

Nightmares

Disturbing dreams that cause the dreamer to wake up feeling anxious or frightened.