Chap 11 (exam 2) Flashcards

1
Q

Anesthetics

A

The term for drugs that depress the CNS; used for surgical procedures

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2
Q

Midazolam

A

Generic name for the drug that is most often used for moderate sedation procedures

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3
Q

Atropine

A

An anticholinergic drug given preoperatively to dry secretions

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4
Q

Adjunctive

A

Drugs used in combination with anesthetics for anesthesia initiation (induction), sedation, reduction of anxiety, and amnesia

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5
Q

Local

A

A type of anesthetic drug that reduces pain sensations at the level of the peripheral nerves

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6
Q

Topical

A

A type of anesthetic that is applied directly to the skin and mucous membranes

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7
Q

Pancuronium

A

A commonly used, long-acting, nondepolarizing neuromuscular blocking drug (NMBD)

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8
Q

Succinylcholine

A

The only depolarizing neuromuscular blocking drug (NMBD) available; used for endotracheal intubation

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9
Q

Balanced

A

The practice of using combinations of drugs to produce general anesthesia rather than using a single drug

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10
Q

General

A

The term for anesthetic drugs that alter the central nervous system (CNS), resulting in loss of consciousness and deep muscle relaxation

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11
Q
Which drug classes are used as adjunctive drugs with anesthesia? Select all that apply:
Sedative-hypnotics
Anticonvulsants
Anticholinergics
Inhaled gas
Opioid analgesics
A

Sedative-hypnotics
Anticholinergics
Opioid analgesics

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12
Q
While assisting with a procedure in the emergency department, the nurse prepares lidocaine (Xylocaine) for use with which type of anesthesia?
Moderate sedation
Infiltration
Intravenous
General
A

Infiltration

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13
Q
The nurse monitoring a patient after surgery keeps in mind that the primary concern with use of a neuromuscular blocking drug is which adverse effect?
Respiratory arrest
Headache
Bradycardia
Hypertension
A

Respiratory arrest

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14
Q
To decrease the possibility of a headache after spinal anesthesia, the nurse will provide which instruction to the patient?
Sit in high Fowler's position
Maintain strict bedrest
Limit fluids
Ambulate in the hall several times a day
A

Maintain strict bedrest

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15
Q
The nurse is reviewing a policy for local anesthesia. Local anesthesia is indicated for which procedure(s)? Select all that apply:
Cardioversions
Suturing a skin laceration
Diagnostic procedures
Long-duration surgery
Dental procedures
A

Suturing a skin laceration
Diagnostic procedures
Dental procedures

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16
Q

A patient who has just returned from surgery has suddenly developed a severe elevation in body temperature. The nurse recognizes that this change may indicate which condition?
A normal temperature change after surgery
Malignant hypertension
Malignant hyperthermia
Fever

A

Malignant hyperthermia

17
Q
During a procedure, the nurse is monitoring a patient who has received dexmedetomidine (Precedex) for moderate sedation. The nurse will observe for which potential adverse effect?
Respiratory depression
Tachycardia
Dizziness
Hypotension
A

Hypotension

18
Q

A patient is receiving a neuromuscular blocking drug. Indicate the order in which the following areas become paralyzed once this drug is given:
__ Limbs, neck, trunk muscles
__ Intercostal muscles and diaphragm
__ Small, rapidly moving muscles, such as those of the fingers and eyes

A

Small, rapidly moving muscles, such as those of the fingers and eyes
Limbs, neck, trunk muscles
Intercostal muscles and diaphragm