Nokea
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.
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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 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.
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 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.
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.