Test #4: Anesthesia Practice Questions with complete solutions 100% verified.

Test #4: Anesthesia Practice Questions with complete solutions 100% verified. While completing preoperative patient teaching, the nurse explains that general anesthesia a. produces deep muscle relaxation and loss of consciousness. b. results in moderate sedation in which the patient can follow commands but will not remember anything following the procedure. c. provides anesthesia to a specific region of the body and generalized sedation. d. typically is achieved using only one type of medication. - correct answers.a. produces deep muscle relaxation and loss of consciousness. General anesthesia produces deep muscle relaxation (both visceral and skeletal) as well as loss of consciousness. The other answers are incorrect. A patient expresses fear of nausea and vomiting postoperatively from the anesthesia. Which is the nurse's best response? a. "I understand your concern; that is one of the pitfalls of surgery." b. "Don't worry, because you'll be heavily sedated if that occurs." c. Nausea and vomiting occur much less frequently than in the past related to the use of a balanced approach to anesthesia." d. "You will need to speak to both the surgeon and the anesthesiologist in order to identify possible allergies to drugs that may be causing this side effect." - correct answers.c. Nausea and vomiting occur much less frequently than in the past related to the use of a balanced approach to anesthesia." Explaining to the patient advances in anesthesia may help alleviate fear. An intubated, mechanically ventilated patient in the intensive care unit is becoming increasingly restless and anxious. The nurse prepares to administer which of the following intravenous anesthetic drugs? a. isoflurane (Forane) b. nitrous oxide c. propofol (Diprivan) d. halothane (Flu0thane) - correct answers.c. propofol (Diprivan) Propofol is an intravenous sedative-hypnotic drug used for induction and maintenance of anesthesia as well as controlled sedation in patients who are intubated and mechanically ventilated in the intensive care unit. It has a rapid onset and short duration of action, allowing for easy titration and maintenance of the patient's level of consciousness. Which postoperative nursing action will help the patient recover from the effects of anesthesia? a. Ambulating once a day b. Turning, coughing, and deep breathing every 2 hours c. Forcing fluids to 400 mL per shift d. Administering loperamide (Imodium) as needed - correct answers.b. Turning, coughing, and deep breathing every 2 hours Turning, coughing, and deep breathing can help prevent postoperative atelectasis, a sequelae of generalized anesthesia and mechanical ventilation. Immediate postoperative assessment of a patient reveals a body temperature of 102º F. Which action will the nurse perform? a. Administer acetaminophen as ordered and recheck in 1 hour b. Apply a cooling blanket per protocol c. Notify the physician d. Assess for signs and symptoms of infection related to the surgical wound - correct answers.c. Notify the physician A fever immediately postoperatively must be evaluated for potential malignant hyperthermia. Infection of a surgical wound takes several days to develop. A patient questions the use of epinephrine for repair of a laceration, stating, "I thought that was the drug they use in the emergency room for patients who are coding." Which is the nurse's best response? a. "Epinephrine is used with lidocaine to prevent side effects." b. "The systemic absorption of lidocaine is maximized by the epinephrine, and the anesthetic effect is reached more quickly." c. "Vasoconstriction caused by epinephrine enhances the duration of action for lidocaine and minimizes bleeding at the laceration site." d. "Epinephrine is metabolized more quickly than lidocaine so that the anesthetic effect wears off more quickly once the laceration is sutured." - correct answers.c.