Nokea
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.
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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.
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 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.
A client admitted for surgery is to receive general anesthesia. Prior to administering the prescribed preanesthetic, which of the following would the nurse do?
- A. Review the client's surgical and anesthesia records.
- B. Position the client to prevent aspiration of vomitus and secretions.
- C. Check the chart for any abnormal laboratory test results.
- D. Check the airway for patency and assess the respiratory status.
Correct Answer: C
Rationale: Before surgery and administering the preanesthetic, the nurse should check the client's chart for any abnormal laboratory test results. Reviewing the client's surgical and anesthesia records, positioning the client to prevent aspiration of vomitus and secretions, checking the airway for patency, and assessing the respiratory status are the postoperative responsibilities of the nurse.
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.