Nokea
The nurse is reviewing the medical record of a client who has returned from surgery. The client received a volatile liquid that required administration with a special vaporizer because delivery to the client without a vaporizer can result in irritation of the client's respiratory tract. Which of the following would the nurse identify as being administered? Select all that apply.
- A. Sevoflurane
- B. Desflurane
- C. Isoflurane
- D. Methoxyflurane
- E. Halothane
Correct Answer: B
Rationale: Desflurane is a volatile liquid that must be administered with a special vaporizer because delivery to the client without a vaporizer can result in irritation of the client's respiratory tract.
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A nurse is reviewing the medical record of a client scheduled for surgery and notes that the client will be receiving general anesthesia. Which factor would the nurse identify as affecting the choice of general anesthesia medication used in a particular client? Select all that apply.
- A. Client's general physical condition
- B. Area of the planned surgery
- C. Anticipated length of the surgery
- D. Client's weight
- E. Client's temperature
Correct Answer: A,B,C
Rationale: The choice of anesthetic drug depends on many factors, including general physical condition of the client, area, organ, or system being operated on; and anticipated length of the surgical procedure. The client's weight may affect the dose of the drug to be given. The client's temperature is unrelated to the choice of anesthetic.
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.
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.
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.
A client admitted to a local health care facility is to undergo surgery with spinal anesthesia. Which of the following is the nurse most likely to observe when caring for this client?
- A. Moderate muscle relaxation
- B. Loss of feeling in the lower abdomen
- C. Hypotension as anesthesia deepens
- D. Increase in the client's heart rate
Correct Answer: B
Rationale: Spinal anesthesia involves the injection of a local anesthetic drug into the subarachnoid space of the spinal cord. There is a loss of feeling (anesthesia) and movement in the lower extremities, lower abdomen, and perineum. Spinal anesthesia is not known to increase a client's heart rate. Spinal anesthesia also does not cause hypotension or moderate muscle relaxation. Enflurane is a volatile liquid anesthetic that causes hypotension once it deepens. Halothane, which is a volatile liquid anesthetic, produces moderate muscle relaxation. Both halothane and enflurane are drugs used for general anesthesia.