Nokea
A client admitted for surgery is to receive general anesthesia. Prior to administering the prescribed preanesthetic, which of the following would the nurse do?
- A. Review the client's surgical and anesthesia records.
- B. Position the client to prevent aspiration of vomitus and secretions.
- C. Check the chart for any abnormal laboratory test results.
- D. Check the airway for patency and assess the respiratory status.
Correct Answer: C
Rationale: Before surgery and administering the preanesthetic, the nurse should check the client's chart for any abnormal laboratory test results. Reviewing the client's surgical and anesthesia records, positioning the client to prevent aspiration of vomitus and secretions, checking the airway for patency, and assessing the respiratory status are the postoperative responsibilities of the nurse.
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The nurse should inform a client receiving spinal anesthesia to expect a loss of feeling and movement in which of the following? Select all that apply.
- A. Arms
- B. Legs
- C. Face
- D. Lower abdomen
- E. Hands
Correct Answer: B,D
Rationale: The nurse should inform a client receiving spinal anesthesia to expect a loss of feeling and movement in the lower extremities, lower abdomen, and perineum.
A client is scheduled for surgery. Before surgery, the nurse would be responsible for which of the following? Select all that apply.
- A. Describing the preparation for surgery ordered by the physician
- B. Assessing the physical status of the client
- C. Describing postoperative care
- D. Demonstrating postoperative client activities
- E. Demonstrating the use of a PCA pump
Correct Answer: A,B,C,D,E
Rationale: The nurse is responsible for describing the preparation for surgery ordered by the physician, assessing the physical status of the client, describing postoperative care, demonstrating postoperative client activities, and demonstrating the use of a PCA pump.
After teaching a group of students about the stages of general anesthesia, the instructor determines that the teaching was successful when the students identify which of the following as characteristic of the first stage?
- A. Delirium
- B. Analgesia
- C. Respiratory paralysis
- D. Excitement
Correct Answer: B
Rationale: Stage I is characterized by analgesia; stage II is the stage of delirium and excitement, stage III is the stage of surgical analgesia; and stage IV is the stage of respiratory paralysis.
To assist with the insertion of an endotracheal tube, the nurse would expect the client to receive which of the following to facilitate its insertion? Select all that apply.
- A. Hydroxyzine
- B. Glycopyrrolate
- C. Atracurium
- D. Doxacurium
- E. Meperidine
Correct Answer: C,D
Rationale: Atracurium and doxacurium are muscle relaxants used during general anesthesia to facilitate the insertion of an endotracheal tube.
The nurse reviews a client's medical record and finds that the client received Innovar. The nurse understands that this drug results in neuroleptanalgesia and is a combination of which of the following drugs? Select all that apply.
- A. Lidocaine
- B. Fentanyl
- C. Etomidate
- D. Droperidol
- E. Methohexital
Correct Answer: B,D
Rationale: The drug Innovar is a combination drug consisting of fentanyl and droperidol.