Nokea
A nursing student is reviewing the stages of general anesthesia. Which pairing if identified by the student demonstrates understanding? Select all that apply.
- A. Stage I-delirium
- B. Stage III-respiratory paralysis
- C. Stage II-delirium
- D. Stage IV-respiratory paralysis
- E. Stage I-analgesia
Correct Answer: C,D,E
Rationale: The stages of anesthesia are as follows: stage I-analgesia; stage II-delirium; stage III-surgical anesthesia; and stage IV?respiratory paralysis.
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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.
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 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 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.
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.