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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.
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A nurse is researching the actions of the drug midazolam. Which of the following would the nurse expect to find about this drug's use as an anesthetic? Select all that apply.
- A. A common preanesthetic antiemetic drug
- B. Appropriate for induction of anesthesia
- C. Often for conscious sedation prior to minor procedures
- D. Limited for use with general anesthesia
- E. Supplementation to nitrous oxide and oxygen for short surgical procedures
Correct Answer: B,C,E
Rationale: Midazolam, a short-acting benzodiazepine CNS depressant, is used as a preanesthetic drug to relieve anxiety (not prevent vomiting); for induction of anesthesia; for conscious sedation before minor procedures, such as endoscopy; and to supplement nitrous oxide and oxygen for short surgical procedures.
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.
A nursing student is reviewing the stages of general anesthesia. Which pairing if identified by the student demonstrates understanding? Select all that apply.
- A. Stage I-delirium
- B. Stage III-respiratory paralysis
- C. Stage II-delirium
- D. Stage IV-respiratory paralysis
- E. Stage I-analgesia
Correct Answer: C,D,E
Rationale: The stages of anesthesia are as follows: stage I-analgesia; stage II-delirium; stage III-surgical anesthesia; and stage IV?respiratory paralysis.
A nurse is reviewing the methods for general anesthesia administration. The nurse would expect which route to be used most commonly for this type of anesthesia? Select all that apply.
- A. Oral
- B. Inhalation
- C. Topical
- D. IV
- E. IM
Correct Answer: B,D
Rationale: General anesthesia is most commonly achieved when the anesthetic vapors are inhaled or the drug is administered IV.
A nurse is reviewing the medical record of a client scheduled for surgery and notes that the client will be receiving general anesthesia. Which factor would the nurse identify as affecting the choice of general anesthesia medication used in a particular client? Select all that apply.
- A. Client's general physical condition
- B. Area of the planned surgery
- C. Anticipated length of the surgery
- D. Client's weight
- E. Client's temperature
Correct Answer: A,B,C
Rationale: The choice of anesthetic drug depends on many factors, including general physical condition of the client, area, organ, or system being operated on; and anticipated length of the surgical procedure. The client's weight may affect the dose of the drug to be given. The client's temperature is unrelated to the choice of anesthetic.