Nokea
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.
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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.
The nurse is reviewing the medical record of a client who has returned from surgery. The client received a volatile liquid that required administration with a special vaporizer because delivery to the client without a vaporizer can result in irritation of the client's respiratory tract. Which of the following would the nurse identify as being administered? Select all that apply.
- A. Sevoflurane
- B. Desflurane
- C. Isoflurane
- D. Methoxyflurane
- E. Halothane
Correct Answer: B
Rationale: Desflurane is a volatile liquid that must be administered with a special vaporizer because delivery to the client without a vaporizer can result in irritation of the client's respiratory tract.
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 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.
A nurse is assigned to care for a 53-year-old client who is to receive glycopyrrolate as a preanesthetic drug. The nurse reviews the client's history for which of the following that would contraindicate the use of this drug?
- A. Diabetes
- B. Hypotension
- C. Respiratory problems
- D. Myocardial ischemia
Correct Answer: D
Rationale: The nurse should confirm that the 53-year-old client does not have myocardial ischemia to ensure that the use of glycopyrrolate is not contraindicated. The other conditions that contraindicate the drug's use include prostatic hypertrophy and glaucoma. Diabetes, hypotension, or respiratory problems are not contraindications for the use of glycopyrrolate.