Question 1

A client has just been visited by the anesthesiologist who will provide anesthesia during the client's abdominal surgery the next day. The client says, "I think I heard the doctor say something about hypnosis. I don't believe in all of that." How should the nurse respond? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of A client has just been visited by...

Question 2

The anesthesiologist elects to use an opioid as adjunct to anesthesia for pain relief. Which of the following nursing diagnosis would be included in the client's care plan?

Accepted Answer

Opioids, while effective for pain relief, also carry a risk for respiratory depression. Therefore, the nursing diagnosis of "Risk for Respiratory Depression" would be appropriate for a client receiving opioids as an adjunct to anesthesia. The other options listed are possible risks associated with opioid use but may not be the most immediate concern in this specific scenario.

Question 3

A client has received local anesthesia of lidocaine (Xylocaine) with epinephrine for repair of a laceration. The nurse plans care based on the knowledge of which action of the epinephrine?

Accepted Answer

The answer of A client has received local anesthesia of...

Question 4

The nursing instructor is explaining the drug lidocaine (Xylocaine) to nursing students who are about to enter their surgical rotation. Which information should be included? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

A) Lidocaine is an amide drug that works by blocking sodium channels from entering the cell.
B) Lidocaine is a long-acting drug compared to many of the ester drugs.
C) Amide drugs like lidocaine have fewer side effects compared to ester drugs. 
D) Lidocaine is not a calcium blocker.
E) Lidocaine and cocaine are not from the same drug class.

Question 5

The anesthesiologist has listed succinylcholine (Quelicin) as part of a client's anesthesia plan. Noting this, the nurse plans which as a priority assessment for this client?

Accepted Answer

Succinylcholine is a neuromuscular blocker that can cause respiratory paralysis, which is why assessing the client's respiratory status is the priority. Spontaneous bleeding, anaphylactic shock, and emergence delirium are not expected effects of succinylcholine.

Question 6

During review of postoperative medical orders, the nurse notes an order for ondansetron (Zofran) prn. When would the nurse expect to administer this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Ondansetron (Zofran) is a medication used to treat nausea and vomiting. Therefore, the nurse would administer this medication if the client complains of nausea (choice B), which is the common reason it is prescribed postoperatively, and approximately 30 minutes before the end of the procedure (choice C) to prevent postoperative nausea and vomiting. It should not be given for temperature elevation (choice A), breakthrough pain (choice D), or before dressing change (choice E) as it is not indicated for these situations.

Question 7

The nurse is managing care for a group of substance abusers. The clients have completed group education about the disease of addiction. The nurse determines that learning has occurred when the clients make which statements? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

These statements demonstrate an understanding of the disease of addiction as a compulsive and complex behavior with potential genetic factors. Statement A is incorrect as opioid withdrawal is uncomfortable, but typically not fatal. Statement C is also incorrect, as while pain medication abuse can contribute to addiction, it is not the only or most common path to addiction.

Question 8

Which clients would the nurse evaluate as unsuitable for the administration of propofol (Diprivan) as anesthesia? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of Which clients would the nurse evaluate as...

Question 9

Moderate sedation is planned for a client who will undergo a procedure. Which statements by the nurse would help the client understand this level of sedation? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of Moderate sedation is planned for a client...

Question 10

Which is a priority outcome goal for a client who has received local anesthesia related to treatment of a musculoskeletal injury?

Accepted Answer

The priority outcome goal for a client who has received local anesthesia related to treatment of a musculoskeletal injury is to prevent injury due to paresthesia, which is a temporary loss of feeling or sensation caused by anesthesia. Therefore, the client must be educated about refraining from activities that could cause injury until the sensation returns. Option A is a relevant outcome goal during discharge, but not the priority outcome goal. Option B is important for wound healing but not specifically related to anesthesia. Option C is not relevant to anesthesia-related goals.

Question 11

Preoperative adjunct medications are used for which reasons? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of Preoperative adjunct medications are used for which...

Question 12

MCSA The nurse is preparing xylocaine that the physician will use for local anaesthesia before suturing a large hand laceration. The nursing student asks whether the client will need another injection of the local anaesthesia. The nurse responds that it is usually not necessary. What is the best explanation by the nurse?

Accepted Answer

Epinephrine added to the local prolongs the effect of the drug by vasoconstriction of the blood vessels, which decreases blood flow to the area and allows the anaesthetic to remain in the area longer. This can also help to reduce bleeding during the procedure.

Question 13

A nurse is assessing a postoperative client who has a family history of malignant hyperthermia. Which findings would be of most concern to the nurse? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of A nurse is assessing a postoperative client...

Question 14

Which client effect would the nurse expect when nitrous oxide is administered?

Accepted Answer

Nitrous oxide is commonly used as an analgesic agent and suppresses the pain mechanism. It does not induce stage 3 anesthesia, total relaxation of skeletal muscles, or a state of unconsciousness.

Question 15

The surgical nurse is preparing a novice nurse for the first day in the operating suite. Which comment by the surgical nurse best explains what can be expected when the client is given succinylcholine (Quelicin)?

Accepted Answer

Succinylcholine is a neuromuscular blocking agent that paralyzes the muscles of respiration, making it necessary for the client to have assistance with breathing. It does not affect cardiovascular status or cause rapid loss of consciousness like other anesthesia drugs. It also does not have similar effects to atropine.

Question 16

A novice nurse says, "We plan to keep our clients in stage 4 anesthesia during their surgery." How should the supervising nurse respond to this statement?

Accepted Answer

The novice nurse's statement is incorrect as the goal of anesthesia is to avoid Stage 4. The supervising nurse should correct their understanding and provide an explanation for why Stage 4 is not desirable during surgery. Option B is incorrect as it praises the novice nurse's statement as a good description, which is incorrect. Option C is also incorrect as Stage 4 does not refer to the recovery period but rather a state of deep anesthesia that is not ideal for surgery. Option D mentions "anxiolysis anesthesia," which is not a commonly used term in anesthesia and may not accurately address the novice nurse's misunderstanding.

Question 17

Which assessment by the nurse would indicate that surgical anesthesia has not been achieved for the client undergoing surgery with a general anesthetic?

Accepted Answer

Muscle rigidity indicates that the client may not be fully anesthetized and may still be able to feel pain during the procedure. The other options are typical effects of general anesthesia.

Question 18

During the admission assessment for a procedure in which propofol (Diprivan) will be administered, the client reports multiple food and drug allergies. Which allergies would be of greatest concern to the nurse? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Propofol (Diprivan) contains components derived from eggs and soybeans, making allergies to these foods of greatest concern due to the risk of an allergic reaction to the medication.

Question 19

A client has had an unexpected reaction to propofol (Diprivan) and may be developing propofol infusion syndrome (PIF). What assessment findings are important for the nurse to relay to the client's health care provider? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of A client has had an unexpected reaction...

Question 20

A client is scheduled to have a procedure under anxiolysis sedation. Which assessment findings would the nurse evaluate as indicating this level of sedation has been reached? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Anxiolysis sedation is a moderate sedation level where the client remains responsive and can be easily aroused with verbal stimulation. Respiratory effort remains adequate, and cardiovascular function does not require support. Airway support and being able to only be aroused with painful stimulation are characteristics of deeper levels of sedation.

Quiz 5: Pharmacology of Alterations in the Central Nervous System

The anesthesiologist elects to use an opioid as adjunct to anesthesia for pain relief. Which of the following nursing diagnosis would be included in the client's care plan?

A client has received local anesthesia of lidocaine (Xylocaine) with epinephrine for repair of a laceration. The nurse plans care based on the knowledge of which action of the epinephrine?

The anesthesiologist has listed succinylcholine (Quelicin) as part of a client's anesthesia plan. Noting this, the nurse plans which as a priority assessment for this client?

During review of postoperative medical orders, the nurse notes an order for ondansetron (Zofran) prn. When would the nurse expect to administer this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Which clients would the nurse evaluate as unsuitable for the administration of propofol (Diprivan) as anesthesia? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Moderate sedation is planned for a client who will undergo a procedure. Which statements by the nurse would help the client understand this level of sedation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Which is a priority outcome goal for a client who has received local anesthesia related to treatment of a musculoskeletal injury?

Preoperative adjunct medications are used for which reasons? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

A nurse is assessing a postoperative client who has a family history of malignant hyperthermia. Which findings would be of most concern to the nurse? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Which client effect would the nurse expect when nitrous oxide is administered?

The surgical nurse is preparing a novice nurse for the first day in the operating suite. Which comment by the surgical nurse best explains what can be expected when the client is given succinylcholine (Quelicin) ?

A novice nurse says, "We plan to keep our clients in stage 4 anesthesia during their surgery." How should the supervising nurse respond to this statement?

Which assessment by the nurse would indicate that surgical anesthesia has not been achieved for the client undergoing surgery with a general anesthetic?