Chapter 27: General Anesthetics

Chapter 27: General Anesthetics

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. A nurse is reviewing his understanding of anesthetics. Which statement made by the nurse would require further review of his understanding of anesthetics?

a.	Appropriate, balanced anesthesia induction is rapid and without complications.
b.	Appropriate analgesia is attained with balanced anesthesia administration.
c.	Muscle relaxation is adequate with balanced anesthesia administration.
d.	Doses are higher to prolong anesthesia.

 

 

ANS:   D

Prolonged anesthesia is not desirable for most procedures, because respiratory depression may occur; this statement indicates that further education is required.

Drugs combined in balanced anesthesia are used to ensure that induction is smooth and rapid and that analgesia and muscle relaxation are adequate; no further education is required.

 

DIF:    Cognitive Level: Analysis                  REF:    p. 253

TOP:    Nursing Process: Evaluation

MSC:   NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies

 

2. A nurse understands that one of the last areas in the body to achieve anesthesia equilibrium with the blood is(are) the

a.	brain.
b.	kidneys.
c.	adipose tissue.
d.	liver.

 

 

ANS:   C

Adipose tissue, which normally is poorly perfused, is among the last areas of the body to achieve anesthesia equilibrium with the blood.

The brain is one of the first areas of the body to achieve anesthesia equilibrium with the blood, as are the kidneys and the liver.

 

DIF:    Cognitive Level: Application             REF:    p. 254

TOP:    Nursing Process: Diagnosis

MSC:   NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies

 

3. A prescriber has combined succinylcholine (Anectine) with an inhalation anesthetic. A nurse understands that the patient should be monitored for what physiological risk?

a.	Cardiac dysrhythmias
b.	Malignant hyperthermia
c.	Hepatotoxicity
d.	Aspiration of gastric contents

 

 

ANS:   D

Succinylcholine relaxes the throat and gag reflex to facilitate intubation, but it also increases the risk of aspiration of gastric contents.

Succinylcholine, combined with an inhalation anesthetic, does not put the patient at risk for cardiac dysrhythmias, malignant hyperthermia, or hepatotoxicity.

 

DIF:    Cognitive Level: Application             REF:    p. 256

TOP:    Nursing Process: Assessment

MSC:   NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential

 

4. A patient is in the operating room awaiting general anesthesia for an open cholecystectomy. Atropine is prescribed preoperatively to

a.	minimize the amount of analgesia needed postoperatively.
b.	provide a more rapid induction of anesthesia.
c.	reduce the risk of bradycardia during surgery.
d.	induce relaxation prior to induction of anesthesia.

 

 

ANS:   C

Anticholinergic drugs, such as atropine (Sal-Tropine), may be given to reduce the risk of bradycardia during surgery.

Atropine does not minimize the amount of analgesia needed postoperatively.

Atropine does not ensure a more rapid induction of anesthesia.

Atropine does not induce relaxation prior to induction of anesthesia.

 

DIF:    Cognitive Level: Application             REF:    p. 255

TOP:    Nursing Process: Diagnosis

MSC:   NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies