Nokea
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.
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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.
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.
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.
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.
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.