Nokea
A client is admitted to a local health care facility for minor surgery to be performed with regional anesthesia. The nurse knows that regional anesthesia would be injected around which of the following regions in the body?
- A. The veins
- B. The arteries
- C. The nerves
- D. The capillaries
Correct Answer: C
Rationale: Regional anesthesia involves injection around the client's nerves. Doing so prevents these nerves from sending pain signals to the brain. Regional anesthesia is never injected into the veins, arteries, or capillaries.
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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 scheduled for surgery has to undergo insertion of an endotracheal tube. The nurse understands that which of the following drugs for general anesthesia would most likely be ordered for this client?
- A. Benzodiazepines
- B. Barbiturates
- C. Opioid analgesics
- D. Skeletal muscle relaxants
Correct Answer: D
Rationale: Skeletal muscle relaxants help produce relaxation of skeletal muscles during certain types of surgeries involving the chest or abdomen and are used to facilitate the insertion of an endotracheal tube. Barbiturates are used for the induction of anesthesia. Benzodiazepines are used to relieve anxiety, induce anesthesia, and consciously sedate the client before minor procedures. Opioid analgesics are used to produce neuroleptanalgesia characterized by general quietness, reduced motor activity, and profound analgesia.
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 working in an outpatient surgical setting may see which of the following volatile liquids used in general anesthesia?
- A. Sevoflurane
- B. Desflurane
- C. Isoflurane
- D. Methoxyflurane
- E. Halothane
Correct Answer: A
Rationale: A nurse working in an outpatient surgical setting may see sevoflurane used in outpatient general anesthesia.
A client visits a dental health care clinic for a tooth extraction. Which type of anesthesia would most likely be used?
- A. Regional anesthesia
- B. General anesthesia
- C. Topical anesthesia
- D. Local infiltration anesthesia
Correct Answer: D
Rationale: Local infiltration anesthesia is often used for dental procedures. Regional anesthesia covers a larger area than that covered by local infiltration anesthesia, so it is not used for minor surgeries like that of a tooth extraction. General anesthesia is used to achieve a pain-free state for the entire body and is not the most appropriate type of anesthesia for a tooth extraction. Similarly, topical anesthesia is used to desensitize skin or mucous membranes for injection of a deeper local anesthetic.