Nokea
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.
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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.
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.
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.
When clients receive the rapid-acting general anesthetic ketamine they would exhibit which of the following? Select all that apply.
- A. Analgesia
- B. Cardiovascular stimulation
- C. Reduced skeletal muscle tone
- D. Respiratory depression
- E. Respiratory stimulation
Correct Answer: A,B,E
Rationale: Clients administered the rapid-acting general anesthetic ketamine (Ketalar) will exhibit profound analgesia, cardiovascular stimulation, respiratory stimulation, and enhanced skeletal muscle tone.
A client admitted for an appendectomy receives methohexital as a general anesthetic. Which of the following would most likely occur as a result of this medication?
- A. Skeletal muscle relaxation
- B. Profound analgesia
- C. CNS depression
- D. Neuroleptanalgesia
Correct Answer: C
Rationale: Methohexital is an ultrashort-acting barbiturate that depresses the CNS to produce hypnosis and anesthesia, but it does not produce analgesia. Skeletal muscle relaxation is caused by skeletal muscle relaxants, halothane, and enflurane. An anesthetic state characterized by profound analgesia is produced by ketamine, which is a rapid-acting general anesthetic. Neuroleptanalgesia is caused by a combination of fentanyl and droperidol.