Nokea
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.
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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.
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.
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 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.
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.