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Unformatted text preview: ection of medication
before going to the operating room?
1. 32 Critical Thinking Exercise
Peter cut his hand. The physician is using
Lidocaine with epinephrine. You
explain to Peter that the local anesthetic
works by? What happens if this drug is
absorbed systemically? Why is
Lidocaine given with epinephrine? What
nursing observations are required if the
local anesthetic contains epinephrine?
33 Critical Thinking Exercise
Your patient asks you how general
anesthetics work. This client will be
getting Nitrous oxide and Pentothal.
What do you tell him?
What 34 Example Test
35 Fill in the Blank
7. Anesthesia proceeds through predictable stages from
_________to total CNS depression and________.
Local anesthetics block the _________, preventing the
transmission of pain sensations and motor stimuli.
General anesthetics are drugs that are used to
__________involves giving a variety of drugs, including
anticholinergics, IV anesthetics, neuromuscular blockers and
The most recent data suggest that inhalation anesthetics
work primarily by __________________________ and
Preanesthetic medications are administered to
____________, ______________, and
The most significant adverse effect of spinal anesthesia is36
The Lidocaine is frequently used for:
A. spinal anesthesia
B. local anesthesia
C. intravenous anesthesia
D. general anesthesia 37 You are the nurse working in the recovery room of an
outpatient surgical center. Your patient has received
general anesthesia with isoflurane, and inhaled
anesthetic. Before discharging him to go home, you
should A. That his vital signs are stable and
D. have returned to baseline.
That he has voided.
That he has someone to drive him
All of the above.
38 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) a.ultra-short-acting barbiturate.
c. intermediate-acting phenothiazine.
39 The surgical unit nurse would take
which of the following postoperative
nursing actions to help the client
recover from the effects of anesthesia?
a.Ambulate client once a day
b.Turn, cough, and deep breathe frequently
c. Force fluids to 1000 mL per shift
d.Insert a urinary catheter to prevent
40 The emergency department nurse
explains to a new nurse that local
anesthesia for treatment of minor injuries
is achieved by:
a.inhibiting medullary activity.
b.inhibiting nerve conduction.
c. depressing the central nervous system.
d.depressing cerebral activity.
41 The patient has received isoflurane (Forane) as
a general anesthetic. In the immediate
postoperative period, the nurse will closely
observe the patient for:
D. elevated blood pressure.
decreased respiratory rate.
decreased pulse rate.
decreased 42 The nurse administers the preoperative
medication, midazolam (Versed). The nurse
will monitor the patient for which intended
effect of this medication?
effect A. Decreased bronchial secretions
B. Reduction in anxiety
C. Respiratory depression
D. Suppression of cough 43...
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This document was uploaded on 09/11/2013.
- Fall '13