Nokea
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.
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A nursing instructor is describing the classes of drugs that are commonly used as preanesthetics. The instructor determines that the teaching was successful when the students identify which as an example? Select all that apply.
- A. Antihypertensives
- B. Opioid agonists
- C. Antianxiety agents
- D. Antiemetics
- E. Cholinergic antagonists
Correct Answer: B,C,D,E
Rationale: Opioid agonists, antianxiety agents, antiemetics, and cholinergic antagonists represent classes of drugs commonly used as preanesthetics.
The nurse reviews a client's medical record and finds that the client received Innovar. The nurse understands that this drug results in neuroleptanalgesia and is a combination of which of the following drugs? Select all that apply.
- A. Lidocaine
- B. Fentanyl
- C. Etomidate
- D. Droperidol
- E. Methohexital
Correct Answer: B,D
Rationale: The drug Innovar is a combination drug consisting of fentanyl and droperidol.
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.
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.
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.