C HAPTER 11: G ENERAL AND L OCAL
A NESTHETICS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. When administering a neuromuscular blocking drug, the nurse needs to
remember which principle?
a. It is used instead of general anesthesia during surgery.
b. Onl y skeletal muscles are paral yzed; respiratory muscles remain
functional.
c. It causes sedation and pain relief while allowing for lower doses of
anesthetics.
d. Artificial mechanical ventilation is required because of paral yzed
respiratory muscles.
ANS: D
Patients receiving neuromuscular blocking drugs require artificial
mechanical ventila tion because of the resultant paral ysis of the
respiratory muscles. In addition, they do not cause sedation or pain
relief. They are used along with, not instead of, general anesthesia
during surgery.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursi ng Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
, 2. A patient is being prepared for an oral endoscopy, and the nurse
anesthetist reminds him that he will be awake during the procedure but
probabl y will not remember it. What t ype of anesthetic technique is used
in this situation?
a. Local anesthesia
b. Moderate sedation
c. Topical anesthesia
d. Spinal anesthesia
ANS: B
Moderate sedation effectivel y reduces patient anxiet y, sensitivit y to
pain, and recall of the medi cal procedure, yet it preserves a patient ’s
abilit y to maintain his or her own airway and respond to verbal
commands. The other options are incorrect.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Implementation
MSC: NC LEX: Phys iological Integrit y: Pharmacological and
Parenteral Therapies
3. During the immediate postoperative period, the Post Anesthesia Care Unit
nurse is assessing a patient who had hip surgery. The patient is
experiencing tachycardia, tachypnea, and muscle rigidit y, and his
temperature is 103°F (39.4°C). The nurse will prepare for what immediate
treatment?
a. Naltrexone hydrochloride injection
b. Dantrolene injection
c. Neostigmine
d. Cardiopulmonary resuscitation (CPR) and intubation
ANS: B
A NESTHETICS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. When administering a neuromuscular blocking drug, the nurse needs to
remember which principle?
a. It is used instead of general anesthesia during surgery.
b. Onl y skeletal muscles are paral yzed; respiratory muscles remain
functional.
c. It causes sedation and pain relief while allowing for lower doses of
anesthetics.
d. Artificial mechanical ventilation is required because of paral yzed
respiratory muscles.
ANS: D
Patients receiving neuromuscular blocking drugs require artificial
mechanical ventila tion because of the resultant paral ysis of the
respiratory muscles. In addition, they do not cause sedation or pain
relief. They are used along with, not instead of, general anesthesia
during surgery.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursi ng Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
, 2. A patient is being prepared for an oral endoscopy, and the nurse
anesthetist reminds him that he will be awake during the procedure but
probabl y will not remember it. What t ype of anesthetic technique is used
in this situation?
a. Local anesthesia
b. Moderate sedation
c. Topical anesthesia
d. Spinal anesthesia
ANS: B
Moderate sedation effectivel y reduces patient anxiet y, sensitivit y to
pain, and recall of the medi cal procedure, yet it preserves a patient ’s
abilit y to maintain his or her own airway and respond to verbal
commands. The other options are incorrect.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Implementation
MSC: NC LEX: Phys iological Integrit y: Pharmacological and
Parenteral Therapies
3. During the immediate postoperative period, the Post Anesthesia Care Unit
nurse is assessing a patient who had hip surgery. The patient is
experiencing tachycardia, tachypnea, and muscle rigidit y, and his
temperature is 103°F (39.4°C). The nurse will prepare for what immediate
treatment?
a. Naltrexone hydrochloride injection
b. Dantrolene injection
c. Neostigmine
d. Cardiopulmonary resuscitation (CPR) and intubation
ANS: B
