Nokea
A group of nursing students are reviewing the different types of anesthesia. The students demonstrate understanding of the information when they identify which of the following as a type of local anesthesia? Select all that apply.
- A. Topical anesthesia
- B. General anesthesia
- C. Local infiltration anesthesia
- D. Regional anesthesia
- E. Spinal anesthesia
Correct Answer: A,C,D,E
Rationale: Local anesthesia includes topical, local infiltration, and regional anesthesia (spinal anesthesia and conduction block are types of regional anesthesia).
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A nurse working on the labor and delivery unit will most likely see which of the following used during the birthing process? Select all that apply.
- A. Epidural block
- B. Brachial plexus block
- C. Transsacral block
- D. Local infiltration anesthesia
- E. General anesthesia
Correct Answer: A,C
Rationale: Epidural and transsacral blocks are often used in obstetrics during the birthing process.
Which of the following are responsibilities of the nurse when local injectable anesthesia is to be administered to a client?
- A. Taking the client's allergy history
- B. Explaining how the anesthetic will be administered
- C. Preparing the area to be anesthetized
- D. Administering the anesthetic
- E. Applying a dressing to the area if appropriate
Correct Answer: A,B,C,E
Rationale: The nurse is responsible for taking the client's allergy history, explaining how the anesthetic will be administered, preparing the area to be anesthetized, and applying a dressing to the area if appropriate. The physician administers the local injectable anesthetic.
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.
For which area on the body would the nurse identify Ambrosia identify that the use of epinephrine with a local injectable drug would be contraindicated? Select all that apply.
- A. Use on a toe
- B. Use on the scalp
- C. Use on the face
- D. Use on the abdomen
- E. Use on a finger
Correct Answer: A,E
Rationale: When the local anesthetic is used on an extremity (such as a toe or finger), the use of epinephrine with a local injectable drug is contraindicated.
The nurse should inform a client receiving spinal anesthesia to expect a loss of feeling and movement in which of the following? Select all that apply.
- A. Arms
- B. Legs
- C. Face
- D. Lower abdomen
- E. Hands
Correct Answer: B,D
Rationale: The nurse should inform a client receiving spinal anesthesia to expect a loss of feeling and movement in the lower extremities, lower abdomen, and perineum.