Term
| The nursing instructor teaches the nursing students about the advantages of the newer local anesthetics, such as lidocaine (Xylocaine). What will the best plan of the nursing instructor include? Select all that apply. |
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Definition
1.Amides have fewer side effects than esters.
2.Amides tend to last longer than esters. |
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Term
| The client has entered Stage 3 of general anesthesia, known as surgical anesthesia. What will the best assessment of the nurse reveal? |
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Definition
| Relaxation, stable respiration, and slow eye movements |
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Term
| The nurse teaches the client about the correct use of a topical anesthetic for a skin condition. The nurse determines that learning has occurred when the client makes which statement(s)? Select all that apply. |
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Definition
1.“I must wash my hands before touching my eyes.”
2.“This lotion should only be used on small areas of skin.” |
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Term
| What does the nurse recognize as the most dangerous adverse effect of inhalation anesthesia? |
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Definition
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Term
| The client receives succinylcholine (Anectine). What will be a priority assessment by the nurse? |
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Definition
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Term
| The student nurse does an operating room rotation and notes that many clients receive succinylcholine (Anectine). The student nurse asks the nursing instructor how the drug works. What is the best response by the nursing instructor? |
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Definition
| “The client will need assistance with breathing; it paralyzes respiratory muscles.” |
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Term
| The client has a serious laceration to the arm. The client receives a local anesthetic mixed with epinephrine prior to suturing. What does the nurse recognize as the rationale for the epinephrine? |
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Definition
| Constricted blood vessels will extend the duration of action of the drug. |
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Term
| Which client is most likely to experience an adverse reaction to inhalation anesthesia? |
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Definition
| A 79-year-old with arteriosclerosis |
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Term
| The client is in Stage 2 of general anesthesia. What are the priority nursing interventions at this time? |
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Definition
| Keep the environment quiet and calm. |
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Term
| A pregnant woman has a malignant melanoma on her leg, and will need surgery. She is concerned about anesthesia. What is the best response by the nurse? |
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Definition
| “You will most likely have local anesthesia; this will not affect your baby.” |
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Term
| The client has had spinal anesthesia. Prioritize the nursing interventions post-operatively. |
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Definition
Assess the client’s vital signs.
Palpate the client’s bladder for fullness.
Assess the client for leg movement and sensation.
Ambulate the client. |
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Term
| The client is scheduled for a surgical procedure. The nurse plans to teach the client about anesthesia. Which statement would be included in the best plan of the nurse? |
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Definition
| “An intravenous (IV) agent will be used first to induce sleep; then, an inhaled agent will be used.” |
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Term
| The 2-year-old child comes to the emergency department with a laceration to the lower leg. The physician plans to use a local anesthetic, but the child screams at the sight of the needle. What is the best action by the nurse? |
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Definition
| Rub a local anesthetic cream on the skin so the child will not feel the needle. |
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Term
| The client has received spinal anesthesia. What common reaction will the nurse assess in the client? |
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Definition
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Term
| The client has received spinal anesthesia. What common reaction will the nurse assess in the client? |
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Definition
| Assess for a return of the gag reflex. |
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Term
| Which clinical technique for administering anesthesia is common for pregnant women during labor and delivery? |
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Definition
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Term
| Local anesthetics work by: |
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Definition
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Term
| Which of the following local anesthetic agents would be considered first due to its lower rate of adverse effects? |
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Definition
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Term
| Which statement correctly identifies why epinephrine is used with local anesthetic agents? |
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Definition
| Epinephrine use prolongs surgical time. |
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Term
| Which of the following correctly identifies a signs of general anesthesia? |
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Definition
| A total loss of body movements |
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Term
| Which of the following correctly identifies the initial use for an IV in a patient undergoing a lengthy abdominal surgery that requires general anesthesia? |
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Definition
| To administer agents that will produce rapid unconsciousness |
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Term
| Which of the following correctly identifies a state of general anesthesia desirable for surgery? |
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Definition
| The patient is unconscious with slow eye movements. |
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Term
| Which intervention would be the most appropriate for a patient who was overdosed on thiopental (Pentothal) during a surgical procedure? |
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Definition
| Assess breathing, and support if necessary. |
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Term
| A patient undergoing surgery is receiving general anesthesia as well as a neuromuscular blocking agent. Which statement best indicates the primary reason for the neuromuscular blocking agent? |
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Definition
| To cause total skeletal muscle relaxation |
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