CNS Anesthetics(1)

Shiver after when they awake why from anesthesia from

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Unformatted text preview: ection of medication Why before going to the operating room? before 1. 32 Critical Thinking Exercise Critical Peter cut his hand. The physician is using Peter 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? local 33 Critical Thinking Exercise Critical Your patient asks you how general Your anesthetics work. This client will be getting Nitrous oxide and Pentothal. What do you tell him? What 34 Example Test Questions Questions 35 Fill in the Blank Fill 1. 2. 3. 4. 5. 6. 7. Anesthesia proceeds through predictable stages from Anesthesia _________to total CNS depression and________. _________to Local anesthetics block the _________, preventing the Local transmission of pain sensations and motor stimuli. transmission General anesthetics are drugs that are used to General produce_______,_________,_______, and________. produce_______,_________,_______, __________involves giving a variety of drugs, including __________involves anticholinergics, IV anesthetics, neuromuscular blockers and narcotics. narcotics. The most recent data suggest that inhalation anesthetics The work primarily by __________________________ and _________________________. _________________________. Preanesthetic medications are administered to Preanesthetic ____________, ______________, and _________________. _________________. 36 The most significant adverse effect of spinal anesthesia is36 The Lidocaine is frequently used for: Lidocaine 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 verify: should A. That his vital signs are stable and That B. C. D. have returned to baseline. have That he has voided. That he has someone to drive him That home. home. 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(n) a.ultra-short-acting barbiturate. b.long-acting benzodiazepine. c. intermediate-acting phenothiazine. d.dissociative barbiturate. 39 The surgical unit nurse would take which of the following postoperative nursing actions to help the client recover from the effects of anesthesia? recover 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 Insert retention retention 40 The emergency department nurse explains to a new nurse that local anesthesia for treatment of minor injuries is achieved by: is 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: observe A. A. B. B. C. C. D. D. elevated blood pressure. elevated decreased respiratory rate. decreased malignant hyperthermia. malignant 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 Decreased B. Reduction in anxiety B. Reduction C. Respiratory depression C. D. Suppression of cough 43...
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This document was uploaded on 09/11/2013.

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