The perioperative nurse would recognize the need to monitor the patient for
hallucinations and agitation when which anesthetic agent is administered?
a. Nitrous oxide
b. Ketamine (Ketalar)
c. Thiopental (Pentothal)
d. Halothane (Fluothane)
Give this one a try later!
, B
A disadvantage of ketamine (Ketalar) is the associated risk of agitation,
hallucinations, and nightmares. These unwanted effects are not associated
with the use of thiopental (Pentothal), halothane (Fluothane), or nitrous
oxide.
The nurse administered midazolam (Versed) to a 58-year-old male patient during a
colonoscopy. What nursing action is appropriate if the patient's respiratory rate
changes from 14 breaths/minute to 3 breaths/minute?
A. Give a dose of naloxone (Narcan).
B. Administer flumazenil (Romazicon).
C. Initiate oxygen at 4 L/min per nasal cannula.
D. Re-position the patient with the head of bed up.
Give this one a try later!
B
Midazolam is a benzodiazepine administered during monitored anesthesia
care to patients having procedures such as a colonoscopy. The nurse
should monitor the level of consciousness and assess for respiratory
depression, hypotension, and tachycardia. To reverse severe
benzodiazepine-induced respiratory depression, the nurse would
administer flumazenil. Naloxone would reverse opioid-induced respiratory
depression. Oxygen should be initiated based on pulse oximetry but at a
higher concentration than what is provided with a nasal cannula at 4 L/min.
The patient with severe respiratory depression should receive 100%
oxygen with a non-rebreather mask. Repositioning the patient will not
reverse the effects of sedation and may interfere with the procedure in
progress.
A patient having an open reduction internal fixation (ORIF) of a left lower leg fracture
will receive regional anesthesia during the procedure. As the patient is prepared in
the operating room, what should the nurse implement to maintain patient safety
during surgery that is directly related to the type of anesthesia being used?
, a. Apply grounding pad to unaffected leg.
b. Assess peripheral pulses and skin color.
c. Verify the last oral intake before surgery.
d. Ensure a smooth surface under the patient.
Give this one a try later!
D
Regional anesthesia decreases sensation to the anesthetized area without
impairing level of consciousness, which means the affected leg will be
without sensation while the anesthetic is effective. A double tourniquet on
the affected leg is used to restrict blood flow. This increases the patient's
risk of impaired skin integrity because the patient does not have sensation
and cannot identify discomfort or foreign objects and will not be moving
during surgery. The nurse's role includes positioning the patient for correct
alignment, exposure of the surgical site, and preventing injury. The other
options will be occurring but are not directly related to the regional
anesthesia.
The nurse is assigned to provide preoperative teaching to a 54-year-old man who is
scheduled for coronary artery bypass surgery. The patient speaks only Spanish but
the nurse only speaks English. What is the best method for the nurse to teach the
patient how to use an incentive spirometer?
a. Give the patient a pamphlet written in Spanish with directions on the use of the
incentive spirometer.
b. Ask another Spanish-speaking patient in the preoperative area to translate as the
nurse describes the procedure.
c. Have the hospital translator available while the nurse demonstrates the procedure
and the patient returns the demonstration.
d. Notify the postoperative unit to have a Spanish-speaking nurse provide education
on the incentive spirometer after surgery.
Give this one a try later!
hallucinations and agitation when which anesthetic agent is administered?
a. Nitrous oxide
b. Ketamine (Ketalar)
c. Thiopental (Pentothal)
d. Halothane (Fluothane)
Give this one a try later!
, B
A disadvantage of ketamine (Ketalar) is the associated risk of agitation,
hallucinations, and nightmares. These unwanted effects are not associated
with the use of thiopental (Pentothal), halothane (Fluothane), or nitrous
oxide.
The nurse administered midazolam (Versed) to a 58-year-old male patient during a
colonoscopy. What nursing action is appropriate if the patient's respiratory rate
changes from 14 breaths/minute to 3 breaths/minute?
A. Give a dose of naloxone (Narcan).
B. Administer flumazenil (Romazicon).
C. Initiate oxygen at 4 L/min per nasal cannula.
D. Re-position the patient with the head of bed up.
Give this one a try later!
B
Midazolam is a benzodiazepine administered during monitored anesthesia
care to patients having procedures such as a colonoscopy. The nurse
should monitor the level of consciousness and assess for respiratory
depression, hypotension, and tachycardia. To reverse severe
benzodiazepine-induced respiratory depression, the nurse would
administer flumazenil. Naloxone would reverse opioid-induced respiratory
depression. Oxygen should be initiated based on pulse oximetry but at a
higher concentration than what is provided with a nasal cannula at 4 L/min.
The patient with severe respiratory depression should receive 100%
oxygen with a non-rebreather mask. Repositioning the patient will not
reverse the effects of sedation and may interfere with the procedure in
progress.
A patient having an open reduction internal fixation (ORIF) of a left lower leg fracture
will receive regional anesthesia during the procedure. As the patient is prepared in
the operating room, what should the nurse implement to maintain patient safety
during surgery that is directly related to the type of anesthesia being used?
, a. Apply grounding pad to unaffected leg.
b. Assess peripheral pulses and skin color.
c. Verify the last oral intake before surgery.
d. Ensure a smooth surface under the patient.
Give this one a try later!
D
Regional anesthesia decreases sensation to the anesthetized area without
impairing level of consciousness, which means the affected leg will be
without sensation while the anesthetic is effective. A double tourniquet on
the affected leg is used to restrict blood flow. This increases the patient's
risk of impaired skin integrity because the patient does not have sensation
and cannot identify discomfort or foreign objects and will not be moving
during surgery. The nurse's role includes positioning the patient for correct
alignment, exposure of the surgical site, and preventing injury. The other
options will be occurring but are not directly related to the regional
anesthesia.
The nurse is assigned to provide preoperative teaching to a 54-year-old man who is
scheduled for coronary artery bypass surgery. The patient speaks only Spanish but
the nurse only speaks English. What is the best method for the nurse to teach the
patient how to use an incentive spirometer?
a. Give the patient a pamphlet written in Spanish with directions on the use of the
incentive spirometer.
b. Ask another Spanish-speaking patient in the preoperative area to translate as the
nurse describes the procedure.
c. Have the hospital translator available while the nurse demonstrates the procedure
and the patient returns the demonstration.
d. Notify the postoperative unit to have a Spanish-speaking nurse provide education
on the incentive spirometer after surgery.
Give this one a try later!
