Deck 32: Anesthesia

Question 1

A medical doctor specifically trained and licensed to administer anesthesia to a client during a surgical procedure would be considered:

A)an anesthesiologist
B)an anesthetist
C)an anesthetic administrator
D)a certified anesthetic technician

Answer 1

an anesthesiologist

Question 2

The client has received an anesthetic injected deeper into the body.The nurse is aware that toxicity is an infrequent complication of this type of anesthesia:

A)epidural anesthesia
B)local anesthesia
C)nerve block
D)spinal anesthesia

Answer 2

nerve block

Question 3

Which of these complications is peculiar to spinal and epidural regional anesthetics?

A)local hematoma
B)postdural puncture headache
C)orthostatic hypotension
D)residual motor block

Answer 3

postdural puncture headache

Question 4

When a client is to have anesthesia administered,the nurse must ensure which of the following?

A)Informed consent is obtained prior to its initiation.
B)A sedative is administered prior to its initiation.
C)Signed consent for a surgical procedure gives implied consent for anesthesia.
D)The client has verbally agreed to the procedure.

Question 5

Which of these statements about the functions of an endotracheal tube during general anesthesia is TRUE?

A)It prevents the client from vocalizing during surgical procedures.
B)It provides a passage for instillation of medication into the client's trachea.
C)It provides a breathing passage from outside the client to within the client's trachea.
D)It prevents the client from awakening during surgery.

Question 6

A client is scheduled to have general anesthesia for a surgical procedure.The client asks the nurse about being awake during surgery.What is the nurse's BEST response?

A)"The anesthesiologist can give you specific information about the effects of the anesthesia selected."
B)"Just relax.You'll be fine."
C)"I'm not sure.Better talk to your anesthesiologist."
D)"With a general anesthetic you will be asleep during surgery."

Question 7

A client is experiencing residual effect of sedation that interferes with their ability to remember any instructions given during or soon after the procedure.This is an example of:

A)amnesia
B)selective memory
C)sympathetic memory loss
D)synergism

Question 8

The client is receiving a medication to prevent pain during surgery.This is an example of:

A)analgesia
B)anesthesia
C)antiemetic
D)sedation

Question 9

A client is scheduled for surgery at 8 A.M.with general anesthesia.Which of the following instructions should the nurse give the client?

A)"Do not have anything to drink after midnight."
B)"Take your oral medications just before surgery."
C)"You can drink water until 6 A.M.."
D)"You can have a piece of toast and coffee at 6 A.M."

Question 10

A client is receiving postsurgical analgesia via epidural block.It is essential that the nurse monitor the client for which of these side effects?

A)bladder distention
B)headache
C)pressure necrosis
D)respiratory depression

Question 11

The client has received an injection of a local anesthetic temporarily rendering of a portion of the body insensible to pain.This is an example of:

A)general anesthesia
B)medical anesthetic
C)regional anesthetic
D)supportive anesthesia

Question 12

To reduce a client's anxiety and ease the induction of general anesthesia,which type of drug may be given prior to or in combination with anesthesia?

A)analgesia
B)antiemetic
C)barbiturate
D)sedative

Question 13

When sedatives given in combination have a greater effect on the client than any one given individually,the effect is called:

A)anesthesia
B)inadvertent reaction
C)synergism
D)variability

Question 14

Before surgery the nurse would do which of the following?

A)Administer preoperative medications as ordered.
B)Document what the client ate for dinner the night before.
C)Give the client water up until the time of surgery.
D)See that the client's family is available.

Question 15

What is the major difference between an anesthetist and an anesthesiologist?

A)An anesthesiologist is a physician,and an anesthetist is a specially trained nurse.
B)An anesthetist can only administer local and regional anesthesia.
C)An anesthetist must work under the supervision of an anesthesiologist.
D)Not all states recognize anesthesiologists as a licensed group.

Question 16

The nurse is caring for a client experiencing labor.Which type of anesthesia is MOST likely to be used?

A)epidural or spinal block
B)general anesthesia
C)local anesthesia
D)nerve block

Question 17

Benefits of patient-controlled analgesia (PCA)include which of the following?

A)It allows the family to assist the client and nursing staff with medication administration.
B)It is less intrusive for the client than intermittent intramuscular (IM)medication injections.
C)It increases the need for nursing observation of the client.
D)It provides greater client control over relief of pain.

Question 18

A client is experiencing a large drop in blood pressure when sitting up or standing,as a complication of residual sympathetic block anesthesia.This is known as:

A)orthostatic hypotension
B)positional hypotension
C)postural hypotension
D)sympathetic hypotension

Question 19

The client has received an injection of a small amount of anesthetic drug into the skin and subcutaneous tissues surrounding a cut.This is an example of:

A)epidural anesthesia
B)local anesthesia
C)nerve block
D)spinal anesthesia

Question 20

When a client emerges from general anesthesia,which of these side effects of anesthesia may be present?

A)increased heart and respiratory rates
B)hypothermia
C)decreased blood pressure
D)panic attacks

Question 21

When caring for a client who has undergone general anesthesia,the nurse's immediate priority interventions would include which of the following? (Select all that apply. )

A)monitoring respirations and blood pressure
B)monitoring for level of consciousness
C)repositioning client frequently
D)encouraging deep breathing
E)providing fluids and missed meal
F)encouraging ambulation
G)keeping the client warm

Question 22

The nurse is aware that the amount of medication needed to relieve a client's pain depends on which factors?

A)client's height
B)client's culture
C)type of pain
D)type of surgery

Question 23

A client's preanesthetic preparation for surgery in which general anesthesia will be administered includes which of the following? (Select all that apply. )

A)being admitted to the hospital the day prior to the surgery
B)withholding of food and fluids for at least 8 hours before the procedure
C)signing a form indicating informed consent for administration of anesthesia
D)taking regularly scheduled medications on the day of surgery with a minimal amount of water
E)limiting visitors to reduce stress and anxiety prior to surgery