Anaesthesia, Moderate Sedation, Pre and Post Nursing Care Practice Questions and Answers

Anaesthesia, Moderate Sedation, Pre and Post Nursing Care Practice Questions and Answers 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 anaesthesiologist in the delivery of nitrous oxide by face mask to a client during the induction of anaesthesia. 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 anaesthesia 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