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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.
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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 visits a dental health care clinic for a tooth extraction. Which type of anesthesia would most likely be used?
- A. Regional anesthesia
- B. General anesthesia
- C. Topical anesthesia
- D. Local infiltration anesthesia
Correct Answer: D
Rationale: Local infiltration anesthesia is often used for dental procedures. Regional anesthesia covers a larger area than that covered by local infiltration anesthesia, so it is not used for minor surgeries like that of a tooth extraction. General anesthesia is used to achieve a pain-free state for the entire body and is not the most appropriate type of anesthesia for a tooth extraction. Similarly, topical anesthesia is used to desensitize skin or mucous membranes for injection of a deeper local anesthetic.
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.
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.
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.