Nokea
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.
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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.
When reviewing information about general anesthetics, a group of students read about volatile liquids used as inhaled general anesthetics. The students demonstrate understanding of the information when they identify which of the following as a volatile liquid? Select all that apply.
- A. Halothane
- B. Desflurane
- C. Nitrous oxide
- D. Enflurane
- E. Cyclopropane
Correct Answer: A,B,D
Rationale: Halothane, desflurane, and enflurane are examples of volatile liquids used as inhaled anesthetics. Examples of gas anesthetics are nitrous oxide and cyclopropane.
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.
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.
A client is prescribed preanesthetic drugs prior to surgery. Which of the following nursing interventions should the nurse perform when caring for this client before the administration of preanesthetic drugs?
- A. Explain postoperative client activities.
- B. Check the client every 5 to 15 minutes.
- C. Assess the respiratory status of the client.
- D. Admit the client to an appropriate unit.
Correct Answer: A
Rationale: When caring for a client prescribed preanesthetic drugs, the nurse should demonstrate, describe, and explain postoperative client activities, such as deep breathing, coughing, and leg exercises. The nurse should check the client every 5 to 15 minutes for emergence from anesthesia, but this is done after the administration of anesthesia, not before. Assessing the respiratory status of the client and admitting the client to an appropriate unit are both postoperative interventions that a nurse should perform. Therefore, these are not performed before the administration of preanesthetic drugs and anesthesia.