Nokea
A client admitted to a local health care facility is to undergo surgery with spinal anesthesia. Which of the following is the nurse most likely to observe when caring for this client?
- A. Moderate muscle relaxation
- B. Loss of feeling in the lower abdomen
- C. Hypotension as anesthesia deepens
- D. Increase in the client's heart rate
Correct Answer: B
Rationale: Spinal anesthesia involves the injection of a local anesthetic drug into the subarachnoid space of the spinal cord. There is a loss of feeling (anesthesia) and movement in the lower extremities, lower abdomen, and perineum. Spinal anesthesia is not known to increase a client's heart rate. Spinal anesthesia also does not cause hypotension or moderate muscle relaxation. Enflurane is a volatile liquid anesthetic that causes hypotension once it deepens. Halothane, which is a volatile liquid anesthetic, produces moderate muscle relaxation. Both halothane and enflurane are drugs used for general anesthesia.
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A nurse is reviewing the anesthesia record of a client who has returned to the unit after abdominal surgery. Which of the following might the nurse note as being used for the induction of anesthesia? Select all that apply.
- A. Lidocaine
- B. Prilocaine
- C. Methohexital
- D. Etomidate
- E. Propofol
Correct Answer: C,D,E
Rationale: Methohexital, propofol, and etomidate are examples of medications used for the induction of anesthesia. Lidocaine and prilocaine are local anesthetics.
A client is to receive atropine as a preanesthetic. The nurse would inform the client that this drug is given for which reason?
- A. Decrease secretions
- B. Relieve anxiety
- C. Promote sedation
- D. Promote relaxation
Correct Answer: A
Rationale: Atropine is a cholinergic blocker that is given to dry secretions in the upper respiratory tract. An opioid or antianxiety drug may be given to relax or sedate the client.
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.
A group of nursing students are reviewing information about general anesthesia. The students demonstrate understanding of the information when they identify which of the following as a factor that would influence the selection of the general anesthesia for the client?
- A. Age of the client
- B. Length of surgical procedure
- C. Preanesthetic drug prescribed
- D. Postoperative care involved
Correct Answer: B
Rationale: The choice of general anesthesia depends on factors that include the general physical condition of the client; the area, organ, or system being operated on; and the anticipated length of the surgical procedure. The selection of general anesthesia does not depend on the age of the client, the preanesthetic drug prescribed for the client, or the postoperative care involved.
A nurse is working in the PACU. Which of the following would be most important for the nurse to do? Select all that apply.
- A. Checking airway patency
- B. Positioning the client to prevent aspiration of secretions
- C. Reviewing the client's surgical and anesthesia records
- D. Checking the client every 15 to 30 minutes for emergence from anesthesia
- E. Checking the client's vital signs
Correct Answer: A,B,C,E
Rationale: Checking airway patency, positioning the client to prevent aspiration of secretions, reviewing the client's surgical and anesthesia records, checking the client every 5 to 15 minutes for emergence from anesthesia, and checking the client's vital signs, IV lines, catheters, drainage tubes, surgical dressings, and casts represent the nurse's responsibilities to a client in the PACU.