Anesthesia, Moderate Sedation, Pre and Post Nursing Care Practice Questions with Verified Solutions

Anesthesia, Moderate Sedation, Pre and Post Nursing Care Practice Questions with Verified Solutions A nurse administered midazolam IV bolus to a client before a procedure. His BP is 86/40 mm Hg, and his pulse is 134/min. Which of the following IV medications should the nurse administer? A. Naloxone B. Morphine C. Flumazenil D. Atropine C. Flumazenil Rationale: Flumazenil is the antidote for benzos, naloxone is the antidote for opioids, morphine is given for pain and atropine treats bradycardia A nurse is assisting an anesthesiologist in the delivery of nitrous oxide by face mask to a client during the induction of anesthesia. Which of the following is the priority nursing action? A. Assess O2 saturation B. Measure BP C. Palpate pulse rate D. Check temp A. Assess O2 saturation Rationale: The greatest risk for injury during anesthesia is hypoxia, the priority action is to maintain and ensure a patent airway A nurse is caring for a client who develops malignant hyperthermia. Which of the following actions should the nurse take? SATA A. Infuse iced IV fluids B. Provide 100% O2 C. Place cooling blanket on client D. Treat complication while continuing surgery E. Administer IV dantrolene A. Infuse iced IV fluids B. Provide 100% O2 C. Place cooling blanket on client E. Administer IV dantrolene Rationale: Measures to cool down patient and maintain a patent airway is priority. Administer IV dantrolene which is a muscle relaxant that treats malignant hyperthermia. The procedure should be canceled immediately A nurse is caring for a client who develops a systemic toxic reaction following a regional block. Which of the following actions should the nurse take? A. Monitor serum creatinine levels B. Provide airway support C. Turn client to the right side D. Administer 0.9% sodium chloride 500 ml bolus B. Provide airway support Rationale: Systemic shock reaction casues CNS depression, priority action is to provide airway support. ABGs should be monitored instead of creatinine, turning client would not improve condition, fluid bolus would make it worse b/c hypertension is one of the manifestations A nurse is caring for a client who reports a headache following an epidural regional nerve block. Which of the following actions should the nurse take? A. Decrease the clients fluid intake B. Apply pressure to the puncture site C. Place head of bed flat D. Instruct client to lie prone C. Place head of bed flat Rationale: Client is experiencing a headache due to CSF leak. Increasing fluids would help replace CSF loss, applying pressure to site will not stop leakage as CSF composition is different from blood, keeping head of bed flat promotes dura tear to seal, lying prone will worsen the headache When is general anesthesia used? Major surgery When complete muscle relaxation is required What is local anesthesia? Loss of sensation w/o loss of consciousness Paralysis in a specific area of the body What population is most susceptible to the effects of