Nokea
To assist with the insertion of an endotracheal tube, the nurse would expect the client to receive which of the following to facilitate its insertion? Select all that apply.
- A. Hydroxyzine
- B. Glycopyrrolate
- C. Atracurium
- D. Doxacurium
- E. Meperidine
Correct Answer: C,D
Rationale: Atracurium and doxacurium are muscle relaxants used during general anesthesia to facilitate the insertion of an endotracheal tube.
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A nurse is researching the actions of the drug midazolam. Which of the following would the nurse expect to find about this drug's use as an anesthetic? Select all that apply.
- A. A common preanesthetic antiemetic drug
- B. Appropriate for induction of anesthesia
- C. Often for conscious sedation prior to minor procedures
- D. Limited for use with general anesthesia
- E. Supplementation to nitrous oxide and oxygen for short surgical procedures
Correct Answer: B,C,E
Rationale: Midazolam, a short-acting benzodiazepine CNS depressant, is used as a preanesthetic drug to relieve anxiety (not prevent vomiting); for induction of anesthesia; for conscious sedation before minor procedures, such as endoscopy; and to supplement nitrous oxide and oxygen for short surgical procedures.
A client scheduled for surgery has to undergo insertion of an endotracheal tube. The nurse understands that which of the following drugs for general anesthesia would most likely be ordered for this client?
- A. Benzodiazepines
- B. Barbiturates
- C. Opioid analgesics
- D. Skeletal muscle relaxants
Correct Answer: D
Rationale: Skeletal muscle relaxants help produce relaxation of skeletal muscles during certain types of surgeries involving the chest or abdomen and are used to facilitate the insertion of an endotracheal tube. Barbiturates are used for the induction of anesthesia. Benzodiazepines are used to relieve anxiety, induce anesthesia, and consciously sedate the client before minor procedures. Opioid analgesics are used to produce neuroleptanalgesia characterized by general quietness, reduced motor activity, and profound analgesia.
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.
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 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.