Ch `11-Anesthetic agents

Question 1

Fentanyl (Innovar) is used in surgery primarily as a(n):

Answer 1

analgesic.

Question 2

Droperidol (Inapsine) is used as a preanesthetic medication primarily because of its ability to act as a(n):

Answer 2

antiemetic.

Question 3

When asked which drug is often administered with regional anesthetics to prolong their effect, the nurse should reply:

Answer 3

epinephrine.” causes vasoconstriction to delay absorption of regional anesthetic agents.

Question 4

Malignant hyperthermia is believed to be the result of:

Answer 4

stress and an inherited susceptibility to develop the disorder.

Question 5

The nurse is monitoring her client and notes that he is flushed and is experiencing excitement and urinary retention following administration of anticholinergic preanesthetic medications. She explains that this is:

Answer 5

a normal reaction to anticholinergics.

These manifestations are normal responses to anticholinergic medications.

Question 6

The last sense to disappear and the first to reappear in an unconscious person is:

Answer 6

hearing

Question 7

For clients who have received general anesthesia, the usual assessment that indicates that the artificial airway can be removed is:

Answer 7

the gag and swallowing reflexes return.

Question 8

For clients in the recovery room, the two major problems the nurse should monitor are:

Answer 8

pain and shivering

Question 9

The nurse monitors for emergence reactions requiring special nursing care most frequently following the use of:

Answer 9

ketamine.

Question 10

Clients receiving local anesthetic agents would be monitored for which of the following frequently noted effects?

Answer 10

allergic reactions.

Question 11

To decrease the likelihood of headaches following spinal anesthesia, the nurse should:

Answer 11

keep the client lying in a recumbent position and offer frequent fluids.

Question 12

The nurse understands that epidural anesthesia is most appropriate for use in:

Answer 12

labor and delivery- The epidural results in loss of sensory function, but not complete motor function when used in labor and delivery.

Question 13

After having regional anesthesia, the client would be monitored for hypotension because of:

Answer 13

the loss of blood and body fluids.

This can occur as a result of the surgical procedure and inadequate replacement of these fluids.

Question 14

When transcribing the order for the preanesthetic agents morphine sulfate and atropine sulfate, the nurse understands that these medications:

Answer 14

may be mixed in the same syringe.

Question 15

The client receiving succinylcholine rapidly develops a pulse rate of 130 bpm, muscle rigidity, and an elevated temperature. The nurse prepares to administer:

Answer 15

dantrolene

Question 16

The client received spinal anesthesia for a surgical procedure. The nurse knows the effects of the anesthesia have worn off when the client:

Answer 16

is able to move the toes

Question 17

The client is 1 hour post aortic aneurysm repair. Over the previous 1 hour, the client’s pulse rate has steadily increased from 80 to 110, with a gradual drop in blood pressure from 120/80 to 100/70. The nurse’s best action is to:

Answer 17

ask the client if the pain level can be rated on a scale of 1 to 10.

Question 18

Prior to the administration of the preanesthetic medication before surgery, the nurse should:

Answer 18

assist the client to the bathroom to void.

Question 19

Thirty minutes ago, the client received atropine and morphine sulfate parenterally as a preoperative medication. The client asks the nurse why he has developed such a dry mouth. The nurse’s best response is:

Answer 19

Dry mouth is an expected side effect of the preoperative medication.”

Question 20

The nurse is responsible for administering some preoperative medications to clients. In addition to checking the compatibility chart, the nurse understands that which of the following drugs should never be combined with another drug in the same syringe?

Answer 20

diazepam (Valium)

Question 21

The nurse working in the operating room of the hospital should:

Answer 21

be sure the work area is well ventilated.

Question 22

The client undergoing anesthesia is experiencing rapid eye movements, increased heart rate, and increased skeletal muscle response cueing the nurse that which stage of anesthesia has been reached

Answer 22

Stage 2

Question 23

The nurse is preparing to administer midazolam IV as a preanesthetic agent and understands that its primary purpose is to:

Answer 23

provide amnesic effects.

Question 24

The client following major surgery under general anesthesia arrives on the nursing unit 4 hours following surgery. The first set of vital signs are T 37.6, P 100, R 30, and BP 100/68. The nurse’s first action should be to:

Answer 24

assess the vital sign readings from the recovery room.

Question 25

When preparing dantrolene for administration to a client, the nurse should:

Answer 25

rotate the vial until the fluid is clear.

Question 26

When a client who has received ketamine HCl is admitted following surgery, the nurse should:

Answer 26

place the client in a quiet area with as little stimulation as possible.

Question 27

For the recovery room client experiencing the problem associated with peripheral vasoconstriction resulting from anesthesia, the nurse should:

Answer 27

cover the client with warm blankets and reassure the client that the condition will soon pass.

Question 28

The person usually responsible for administering preanesthetic medication is:

Answer 28

the nurse preparing the client for OR.

Question 29

Which of the following would NOT be the reason for the nurse to check the vital signs of clients before preanesthetic or anesthetic agents are given?

Answer 29

It is the protocol of the surgical department, and nurses must follow these guidelines.

Question 30

The nurse caring for the client receiving continuous extravascular infusion should do which of the following actions?

Answer 30

Monitor the client’s pain level.
Prevent catheter displacement.
Provide emotional support.
Monitor for bradycardia.
Follow procedures for prevention of infection at the catheter site.

Question 31

A client who has received ketamine would be monitored for which of the following emergence reactions? Select all that apply

Answer 31

confusion
excitement
irrational behavior
hallucinations

Question 32

The client received Brevital, the ultra-short-acting barbiturate general anesthetic agent. The nurse would monitor for which of the following adverse effects?

Answer 32

pruritus
hiccups
nausea and vomiting
increased oral secretions

Question 33

The client who received a spinal with Lidocaine 5% dextrose 7.5% should be monitored for signs/symptoms of CNS toxicity. These would include which of the following?

Answer 33

vertigo
blurred vision
restlessness
depression
anxiety