The most dangerous period for many pts undergoing general anesthesia is during which stage? A) Stage 1, when communication becomes difficult B) Stage 2, when systemic stimulation occurs C) Stage 3, when skeletal muscles relax D) There is no real danger during general anesthesia Recovery after a general anesthetic refers to the period of time: A) From the beginning of the anesthesia until the pt is ready for surgery B) During the surgery when anesthesia is maintained at a certain level C) From discontinuation of the anesthetic until the pt has regained consciousness, movement, and the ability to communicate D) When the pt is in the most danger of CNS depression While a pt is receiving a general anesthetic, he or she must be continually monitored because: A) The pt has no pain sensation B) Generalized CNS depression affects all body functions C) The pt cannot move D) The pt cannot communicate The nursing instructor determines that teaching about general anesthetics was successful when the students identify which person as being most qualified to administer general anesthetics? A) Nursing supervisor B) Graduate nurse C) Trained physician D) Surgeon Local anesthetics are used to block feeling in specific body areas. If given in increasing concentrations, local anesthetics can cause loss, in order, of the following: A) Temperature sensation, touch sensation, proprioception, and skeletal muscle tone B) Touch sensation, skeletal muscle tone, temperature sensation, and proprioception C) Proprioception, skeletal muscle tone, touch sensation, and temperature sensation D) Skeletal muscle tone, touch sensation, temperature sensation, and proprioception SATA. Comfort measures that are important for a pt receiving a local anesthetic would include which of the following? A) Skin care and turning B) Reassurance over loss of control and sensation C) Use of antihypertensive agents D) Use of analgesics as needed E) Ice applied to the area involved F) Safety precautions to prevent injury SATA. A nurse would anticipate the use of general anesthetics for which of the following reasons? A) To produce analgesia B) To produce amnesia C) To activate the reticular activating system D) To block muscle reflexes E) To cause unconsciousness F) To prevent nausea SATA. Balanced anesthesia combines different classes of drugs to achieve the best effects with the fewest adverse effects. Balanced anesthesia usually involves the use of which of the following? A) Anticholinergics B) Narcotics C) Sedative/hypnotics D) Adrenergic beta-blockers E) Dantrolene F) Neuromuscular blocking agents A pt is receiving general anesthesia and the pt's skeletal muscles have begun to relax after being tense. In what stage of anesthesia is this pt? A) Stage 2 B) Stage 1 C) Stage 3 D) Stage 4 The nurse understands that a pt who has received Methohexital will likely require additional analgesics after surgery for which reason? A) The drug has no analgesic properties B) The drug is lipophilic C) The drug causes pain at the intravenous site D) The drug's duration of action is very short The nurse is assessing a pt who is in postanesthetic recovery from surgery with Midazolam. What is a priority nursing assessment? A) Oral temperature B) Respiratory rate C) Pupil size D) Urine output A pt who received Ketamine is requiring prolonged respiratory support. The pt most likely received what other classification of drug? A) Anesthetic gases B) Narcotics C) Neuromuscular junction blockers D) Volatile liquids The anesthesiologist has informed the perioperative nurse that a surgical pt will be receiving a barbiturate anesthetic. What medication is the pt most likely to receive? A) Nitrous oxide B) Desflurane C) Etomidate D) Methohexital What aspect of a pt's health status would contraindicate the safe use of Desflurane during surgery? A) The pt is morbidly obese B) The pt has type 2 diabetes and early signs of diabetic nephropathy C) The pt has COPD D) The pt has an allergy to shellfish

 

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