Question 1

The surgical unit nurse would take which of the following postoperative nursing actions to help the client recover from the effects of anesthesia?&#10;A) Ambulate client once a day&#10;B) Turn,cough,and deep breathe frequently&#10;C) Force fluids to 1000 mL per shift&#10;D) Insert a urinary catheter to prevent retention&#10;

Accepted Answer

Turning, coughing, and deep breathing helps prevent complications such as pneumonia, and promotes circulation and oxygenation. This is an important postoperative nursing action to help the client recover from the effects of anesthesia. Ambulation, hydration, and urinary catheterization may also be important interventions, but they are not specifically related to recovery from anesthesia.

Question 2

The operating room nurse anticipates that the use of neuroleptanesthesia,such as with fentanyl or droperidol,would be done during which of the following surgeries or procedures?&#10;A) Cystectomy&#10;B) Colostomy&#10;C) Bronchoscopy&#10;D) Thoracotomy&#10;

Accepted Answer

Neuroleptanesthesia, involving drugs like fentanyl or droperidol, is particularly suited for diagnostic and minor surgical procedures that require the patient to be calm and pain-free but not necessarily deeply unconscious. A bronchoscopy, which is a diagnostic procedure looking into the airways, fits this requirement well. It is less invasive compared to the other options listed, which are major surgical procedures requiring deeper levels of anesthesia.

Question 3

Many disease states and risk factors can alter an individual's response to anesthesia.Which individual is at high risk for such an alteration?&#10;A) A 42-year-old woman who performs aerobic exercises three times a week&#10;B) A 2-month-old infant with biliary atresia&#10;C) A 54-year-old man who has not smoked in 5 years&#10;D) An 18-year-old client who is having dental surgery&#10;

Accepted Answer

Infants with biliary atresia often have liver dysfunction, which can affect their response to anesthesia. The other individuals listed do not indicate any disease states or risk factors that would significantly alter their response to anesthesia.

Question 4

The nurse in the urgent care center would not expect to see which of the following effects of a local anesthetic on the client's cardiovascular system?&#10;A) Vasodilation&#10;B) Myocardial depression&#10;C) Bradycardia&#10;D) Hypertension&#10;

Accepted Answer

Local anesthetics typically cause vasodilation, which can lead to a decrease in blood pressure. Additionally, they can cause myocardial depression and bradycardia. However, hypertension is not a typical effect of local anesthetics on the cardiovascular system.

Question 5

The nurse explains during preoperative teaching that withholding food for 8 hours before surgery helps prevent which of the following conditions?&#10;A) Stomach dilation&#10;B) Electrolyte imbalance&#10;C) Nausea&#10;D) Aspiration pneumonia&#10;

Accepted Answer

Withholding food for 8 hours before surgery is important in preventing aspiration pneumonia, which can occur if the stomach contents regurgitate into the lungs while the patient is under anesthesia. It does not prevent stomach dilation, electrolyte imbalance, or nausea.

Question 6

The operating room nurse would alert the surgeon to which of the following types of medications taken by the client the previous evening,which are commonly associated with interactions during anesthesia?

A) Antipyretic
B) Antidysrhythmic
C) Antiemetic
D) Antacid

Accepted Answer

Antidysrhythmic medications are known to interact with anesthesia and may cause cardiovascular complications during and after the procedure. Antipyretics are medications used to treat fever and are not commonly associated with interactions during anesthesia. Antiemetics are used to treat nausea and vomiting; while some may interact with anesthesia, they are not as significant as antidysrhythmics. Antacids are used to treat stomach acid and are not associated with interactions during anesthesia.

Question 7

What type of anesthesia is achieved by the direct administration of an anesthetic agent to tissues to induce the absence of sensation in a small area of the body?&#10;A) Caudal anesthesia&#10;B) General anesthesia&#10;C) Local anesthesia&#10;D) Regional anesthesia&#10;

Accepted Answer

Local anesthesia is achieved by directly administering an anesthetic agent to tissues to induce the absence of sensation in a small area of the body. Caudal anesthesia involves injecting local anesthetics into the epidural space of the tailbone, regional anesthesia involves numbing a larger area of the body, and general anesthesia involves inducing a loss of sensation and consciousness throughout the entire body.

Question 8

General anesthesia consists of four stages.The circulating nurse in the operating room concludes that which of the following exhibited by the client is characteristic of stage 2,the excitement phase?&#10;A) Loss of reflexes&#10;B) Regular,deep respirations&#10;C) Regaining consciousness&#10;D) Struggling or shouting&#10;

Accepted Answer

Struggling or shouting is characteristic of stage 2, the excitement phase of general anesthesia. Loss of reflexes, regular deep respirations, and regaining consciousness are characteristics of other stages of anesthesia.

Question 9

The emergency department nurse explains to a new orientee that local anesthesia for treatment of minor injuries is achieved by&#10;A) inhibiting medullary activity.&#10;B) inhibiting nerve conduction.&#10;C) depressing the central nervous system.&#10;D) depressing cerebral activity.&#10;

Accepted Answer

Local anesthesia for treatment of minor injuries is achieved by inhibiting nerve conduction. This prevents pain signals from reaching the brain, allowing the patient to undergo the procedure with minimal discomfort.

Question 10

A client needs a tooth extraction to be performed in the oral surgeon's office.The office nurse explains to the client before the procedure that which of the following most common anesthetic gases will be used?

A) Nitric oxide
B) Nitrous oxide
C) Nitrogen mustard
D) Nicotinic oxide

Accepted Answer

Nitrous oxide is a commonly used anesthetic gas in dental procedures, including tooth extractions. Nitric oxide is not commonly used as an anesthetic gas, while nitrogen mustard and nicotinic oxide are not used in dental procedures.

Question 11

The circulating nurse in the operating room explains to a small group of nursing students that thiopental sodium (Pentothal)is useful for the surgical client because of its action as a(n)&#10;A) ultra-short-acting barbiturate.&#10;B) long-acting benzodiazepine.&#10;C) intermediate-acting phenothiazine.&#10;D) dissociative barbiturate.&#10;

Accepted Answer

The answer of The circulating nurse in the operating room...

Question 12

The nurse explains in simple terms to a client needing a local anesthetic that epinephrine is used with lidocaine (Xylocaine)because&#10;A) the epinephrine and the Xylocaine act synergistically.&#10;B) systemic absorption of epinephrine is maximized by the Xylocaine,and anesthetic effect is reached more quickly.&#10;C) vasoconstriction caused by epinephrine enhances the duration of the effects of the Xylocaine.&#10;D) epinephrine is metabolized more quickly than Xylocaine so that the anesthetic effect is diminished.&#10;

Accepted Answer

The answer of The nurse explains in simple terms to...

Question 13

Which of the following would not be an expected effect that the operating room would see when a combination of intravenous and inhaled anesthesia agents is used during an operative procedure?&#10;A) Myocardial excitation&#10;B) Diminished reflexes&#10;C) Loss of consciousness&#10;D) Muscle relaxation&#10;

Accepted Answer

The answer of Which of the following would not be...

Deck 15: Anesthetics