Deck 16: Drugs for Anesthesia

Question 1

The client asks the nurse about the uses of nitrous oxide.Which statement is the most appropriate by the nurse?
1)Nitrous oxide is rarely used in any setting.
2)Nitrous oxide is used for local anesthesia.
3)Nitrous oxide is used for dental procedures.
4)Nitrous oxide is used for general anesthesia.

Answer 1

3

Question 2

The nurse educator is teaching a group of students about inhaled anesthetics and intravenous anesthetics.Which is an intravenous anesthetic?
1)Methoxyflurane (Penthrane)
2)Isoflurane (Forane)
3)Propofol (Diprivan)
4)Halothane (Fluothane)

Answer 2

3

Question 3

A nurse educator is instructing students about the history of anesthetics.Which type of anesthetic was the ester of choice for dental procedures from the mid-1900s to the 1960s?
1)Cocaine
2)Benzocaine (Solarcaine)
3)Procaine (Novocain)
4)Lidocaine (Xylocaine)

Answer 3

3

Question 4

The client asks the nurse how local anesthetics work.Which response by the nurse is most appropriate?
1)They numb the skin.
2)They block calcium channels.
3)They block sodium channels.
4)They increase sensation.

Question 5

When explaining a surgical procedure to a client,the nurse tells the client that a small amount of which drug is sometimes added to the anesthetic solution to lengthen the duration of action of the anesthetic?
1)Epinephrine (Adrenaline)
2)Midazolam (Versed)
3)Diphenhydramine (Benadryl)
4)Lidocaine (Xylocaine)

Question 6

A client is receiving a local anesthetic.What instruction is most appropriate by the nurse prior to administering the medication?
1)Never take at home.
2)Take only when drowsiness is present.
3)Report any unusual heart palpitations,lightheadedness,drowsiness,or confusion.
4)Allow family members to use as needed.

Question 7

A client is admitted to the hospital for surgery.The nurse is explaining major routes of applying local anesthesia to the client.Which routes should be included in the teaching? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Spinal
2)Topical
3)Epidural
4)Tendon block
5)Infiltration

Question 8

The nurse is preparing to administer ketamine (Ketalar)to a client.Which route of administration is correct?
1)Oral
2)Intravenous
3)Inhaled
4)Topical

Question 9

The nurse educator asks a group of students what occurs when sensation is lost to a limited part of the body without loss of consciousness.Which answer by the student is correct?
1)General anesthesia
2)Surgical anesthesia
3)Local anesthesia
4)Total anesthesia

Question 10

A client having an abdominal resection also has a history of myasthenia gravis.Due to the risk of nitrous oxide,what does the nurse anticipate this client to be at a greater risk for developing?
1)Increased heart rate and respiratory depression
2)Nausea and vomiting during surgery
3)Decreased intracranial pressure and diuresis
4)Respiratory depression and prolonged hypnotic effects

Question 11

What is the appropriate term for the third stage of anesthesia?
1)Topical anesthesia
2)Local anesthesia
3)Surgical anesthesia
4)Balanced anesthesia

Question 12

How many medications are used to rapidly cause unconsciousness and muscle relaxation and to maintain deep anesthesia?
1)Five medications
2)A single medication
3)Always two medications
4)Multiple medications

Question 13

Which is an inhaled anesthetic?
1)Dibucaine (Nupercaine)
2)Dyclonine (Dyclone)
3)Pramoxine (Tronothane)
4)Nitrous oxide

Question 14

Which medication is NOT an ester?
1)Chloroprocaine (Nesacaine)
2)Bupivicaine (Marcaine)
3)Benzocaine (Americaine)
4)Tetracaine (Pontocaine)

Question 15

The nurse prepares to administer succinylcholine (Anectine)as per the medication order.What does the nurse expect after the medication has been administered?
1)Loss of consciousness
2)Light sedation
3)Prevention of muscle contractions
4)Total skeletal muscle relaxation

Question 16

An OR nurse is quizzing a group of students who are observing in the surgical suite.The nurse asks the students how many stages of anesthesia there are.Which answer by the students is correct?
1)Two
2)Four
3)Three
4)One

Question 17

A client is having surgery tomorrow and the nurse is discussing the plan of care for surgery.Which statement by the client indicates understanding of the preoperative teaching?
1)"I will probably feel pain during the procedure."
2)"I won't feel a thing because I will be asleep."
3)"I will lose consciousness,movement,and memory."
4)"I will retain all memory of my procedure."