Deck 12: General and Local Anaesthetics

Question 1

Which individual is at high risk for an altered response to anaesthesia?

A)A 30-year-old male who has never had surgery before
B)A 45-year-old female who stopped smoking 10 years ago
C)A 20-year-old male who is to have a lymph node removed
D)A 78-year-old female who is to have her gallbladder removed

Answer 1

A 78-year-old female who is to have her gallbladder removed

Question 2

After piercing a finger with a fish hook during a fishing trip,a patient is now at an emergency department to have the hook removed.What type of anaesthesia will be used for this procedure?

A)Topical benzocaine spray to the area
B)Spinal anaesthesia with mepivacaine hydrochloride
C)Topical prilocaine cream (EMLA) around the site
D)Infiltration of the area with tetracaine hydrochloride

Answer 2

Infiltration of the area with tetracaine hydrochloride

Question 3

A patient is undergoing abdominal surgery and has been anaesthetized for 3 hours.Which nursing diagnosis is appropriate for him?

A)Anxiety related to the use of an anaesthetic
B)Risk for injury related to increased sensorium from general anaesthesia
C)Decreased cardiac output related to systemic effects of local anaesthesia
D)Impaired gas exchange related to central nervous system (CNS) depression produced by general anaesthesia

Answer 3

Impaired gas exchange related to central nervous system (CNS) depression produced by general anaesthesia

Question 4

When administering a neuromuscular drug such as pancuronium,what does the nurse need to remember?

A)It can be used instead of general anaesthesia during surgery.
B)Only skeletal muscles are paralyzed; respiratory muscles remain functional.
C)It causes sedation and pain relief while allowing for lower doses of anaesthetics.
D)Patients will require artificial mechanical ventilation because of paralyzed respiratory muscles.

Question 5

While monitoring a patient who had surgery under general anaesthesia 2 hours earlier,the nurse notes a sudden elevation in body temperature.What does this sudden elevation in body temperature indicate?

A)Tachyphylaxis
B)Postoperative infection
C)Malignant hypothermia
D)Malignant hyperthermia

Question 6

A patient has been given succinylcholine (Quelicin)after a severe injury that necessitated controlled ventilation.The physician now wants to reverse the paralysis.The nurse would expect to use which drug to reverse the succinylcholine?

A)diazepam (Valium)
B)caffeine
C)neostigmine methylsulphate
D)vecuronium bromide (Norcuron)

Question 7

A patient is to receive local anaesthesia for removal of a lymph node from the groin.Why does the physician add epinephrine to the local anaesthetic during the preparation?

A)Epinephrine prevents an anaphylactic reaction from occurring.
B)The anaesthetic enhances the effect of the epinephrine.
C)Epinephrine contributes to a balanced anaesthetic state.
D)Vasoconstrictive effects keep the anaesthetic at its local site of action.

Question 8

During the postoperative recovery period,what should be the nurse's immediate main concern?

A)Pupil responses
B)Return to sensation
C)Level of consciousness
D)Airway, breathing, and circulation

Question 9

When a neuromuscular blocking drug is given,the effects occur in a certain order.Put the following drug effects in the proper order of occurrence,using the choices A through C listed below.Express your answer with small letters followed by a comma and a space (e.g.a,b,c).

A)Cessation of respirations due to paralysis of diaphragm and intercostal muscles
B)Total flaccid paralysis
C)Weakness

Question 10

A patient is being prepared for an oral endoscopy,and the nurse reminds him that he will be awake during the procedure but probably will not remember it.What type of anaesthetic technique is used in this situation?

A)Twilight sleep
B)Procedural sedation
C)Adjunctive anaesthesia
D)Spinal anaesthesia

Question 11

Which symptom may occur if a patient is taking ginger and requires an anaesthetic?

A)Decreased blood pressure
B)Increased risk of bleeding
C)Increased risk of stroke
D)Migraine headaches