A client with impaired cardiac functioning is at risk during anesthesiainduction with

 
The surgical floor receives a client from the postanesthesia care unit.Ten minutes ago,
the final assessment in the postanesthesia care unitindicated that the client had a
patent airway and stable vital signs. Theclient’s pain level was 2. The nurse should
next: *
1/1
1. check the dressing for signs of bleeding.
 
2. empty any peri-incisional drains.
3. reassess the client’s pain level.
4. determine if the client has a full bladder.

 
The nurse is assessing a client recovering from anesthesia. Which is anearly indicator
of hypoxemia? *
1/1
1. somnolence
2. restlessness
 
3. chills
4. urgency

 
These instruments are used to grasp tissue and hold it in place without injuring
surrounding tissues. The following are example except? *
1/1
Ronguer
 
allis,
babcock,
debakey forceps

 
Which client is expected to retain anesthetic agents longest? *
1/1
Miranda who is 6 feet 2 inches tall (188 cm) and weighs 250 lb (113 kg)
Korina who is 5 feet 4 inches (163 cm) tall and weighs 110 lb (49.9 kg)
Karen who is 5 feet 1 inches (155 cm) tall and weighs 200 lb (90.7 kg)
 
Monching who is 5 feet 7 inches (170 cm) tall and weighs 145 lb (65.8 kg)

 
The perioperative nurse would recognize the need to monitor the patient for
hallucinations and agitation when which anesthetic agent is administered? *
1/1
A. Nitrous oxide
B. Ketamine
 
C. Thiopental
D. Halothane

 
The nurse is to administer midazolam 2.5 mg. The medication isavailable in a 5-
mg/mL vial. How many mL should the nurse administer?Record your answer using
one decimal point. *
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.5 mL
 
 
The nurse assesses vital signs on a client who had epidural anesthesia 4 hours ago.
The nurse should assess the client first for: *
1/1
1. bladder distention.
 
2. headache.
3. postoperative pain.
4. ability to move the legs

 
A 250-lb (113-kg) male client recovering from general anesthesia hasthe following
assessment findings: pulse, 150 bpm; blood pressure, 90/50mm Hg; respiratory rate,
28 breaths/min; tympanic temperature, 99.8°F(37.7°C); and rigid muscles. The nurse
determines that the client is: *
1/1
recovering as expected from the anesthesia and continues monitoring him.
exhibiting the effects of excessive blood loss experienced in the operating room and increases
the rate of his IV infusion.
in the early stages of malignant hyperthermia and obtains emergency medications and notifies
the anesthesiologist.
 
in pain and offers him pain medication.

 
This suture used to provide longer-term tissue approximation. They can be used on
the skin. This refers to *
···/1

Non-absorbable sutures
 
 
Which of the following knife blade is used in initial skin punctureof tiny deep incisions *
2/2
#10
#11
 
#15
#16

 
Which body system is not blocked by spinal anesthesia? *
0/1
1. the sympathetic nervous system
2. the sensory system
3. the parasympathetic nervous system
4. the motor system
 
 
Remove a disease part is *
1/1
Ablative
 
Constructive
Reconstructive
Palliative

 
Which of the following is not belong to the group? *
1/1
Monocryl
Vicryl
PDS
Silk
 
 
Which is not belong to the group? *
1/1
PDS
 
silk
Nylon
Prolene

 
repair of cleft lip and cleft palate is under *
1/1
Ablative
Constructive
Reconstructive
 
Palliative

 
A client is to receive medication by a continuous nerve block route.Prior to insertion of
the catheter by the anesthesiologist, what informationmust the nurse document?
Select all that apply. *
4/4
1. vital signs
 
2. weakness/numbness
 
3. location of pain
 
4. results of laboratory tests
5. allergies
 
 
Appendetomy is considered on what classification of surgery according to purpose *
0/1
ablative
 
palliative
constructive
reconstructive

 
performed to restore function to tissue *
1/1
Ablative
Constructive
Reconstructive
 
Palliative

 
Which of the following knife blade is used in short shallow incisions? *
2/2
#10
#11
#15
 
#16

 
When assessing a client who has had spinal anesthesia, which finding is expected? *
1/1
1. The client feels pain before moving the legs.
2. The blood pressure is significantly increased.
3. Sensation returns to the toes first and then progresses to the perineal area
 
4. The client has a headache while in the lying position.

 
The intraoperative phase begins when the patient is transferred to the operating room
and ends when transfer to *
···/2

Post Anesthesia Care Unit (PACU)

 
The nurse anticipates that the client who has received epidural anesthesia is at
decreased risk for a spinal headache because: *
1/1
1. a 17-gauge needle is used.
2. a subarachnoid injection is made.
3. a noncutting needle is used.
 
4. a faster onset occurs.

 
Prior to placement of an epidural/intrathecal catheter, what should thenurse instruct
the client to do? Select all that apply. *
4/4
1. Take showers instead of baths while the catheter is in place.
2. Tell the nurse about having nausea or vomiting.
 
3. Call for assistance with turning or repositioning while in bed.
 
4. Inform the nurse of numbness or weakness in the legs.
 
5. Take shallow breaths to prevent dislodging the catheter.
6. Call the nurse if the catheter becomes dislodged
 
 
The nurse in the postanesthesia care unit notes that one of the client’spupils is larger
than the other. The nurse should: *
1/1
1. rate the client on the Glasgow Coma Scale.
2. administer oxygen.
3. check the client’s baseline data.
 
4. call the surgeon.

 
The healthcare provider (HCP) prescribed intravenous naloxone toreverse the
respiratory depression from morphine administration. Afteradministration of the
naloxone, the nurse should: *
1/1
check respirations in 5 minutes because naloxone is immediately effective in relieving respiratory
depression.
check respirations in 30 minutes because the effects of morphine will have worn off by then.
monitor respirations frequently for 4 to 6 hours because the client may need repeated doses of
naloxone.
 
monitor respirations each time the client receives morphine sulfate 10 mg IM.

 
An 80-year-old client had spinal anesthesia for a transurethralresection of the prostate
and received 4,000 mL of room temperature isotonicbladder irrigation. He now has
continuous irrigation through a three-wayindwelling urinary catheter. Which
postoperative nursing intervention is mostimportant to include in his plan of care? *
1/1
1. Empty the catheter drainage bag.
2. Cover the client with warm blankets.
 
3. Hang new bags of irrigation.
4. Turn the client.

 
A client arrives from surgery to the postanesthesia care unit. Whichrespiratory
assessment should the nurse complete first? *
1/1
1. oxygen saturation
2. respiratory rate
3. breath sounds
4. airway flow
 
 
during intraoperative period, the patient monitored, anesthetized, prepped draped and
procedure is performed *
···/1
True
 
False

 
A client is admitted to the postanesthesia care unit following a left hipreplacement.
The initial nursing assessment is as follows: temperature,96.6°F (35.9°C); pulse, 90
bpm; respiration rate, 14 breaths/min; and bloodpressure, 128/80 mm Hg. The client
only responds with moaning whenspoken to. What should the nurse do first? *
1/1
1. Observe the surgical dressing.
2. Position the client on the right side.
 
3. Remove the oral airway remaining from surgery.
4. Administer sedation reversal agent such as flumazenil

 
The intraoperative period reinforce the essential information for discharge *
1/1
True
False
 
 
The following are needle holder except *
1/1
Webster
Crilewood
Mayo Hegar
None of these
 
 
The nurse anticipates that a client who has received propofol as theinduction and
maintenance agent for general anesthesia will most likely ‐experience: *
1/1
1. minimal nausea and vomiting.
 
2. hypotension.
3. slow induction of anesthesia.
4. small tremors of the skeletal muscles.

 
On the day of surgery, a client has been breathing room air. The vitalsigns are normal,
and the O2 saturation is 89%. The nurse should first: *
1/1
1. lower the head of the bed.
2. notify the healthcare provider (HCP).
3. assist the client to take several deep breaths and cough.
 
4. administer oxygen by nasal cannula as prescribed at 2 L/min

 
A patient undergoing a surgical procedure with general anesthesia exhibits muscle
rigidity, body temperature (T) of 103° F (39.4° C), pulse (P) of 100 beats per minute
(bpm), and a respiratory rate (RR) of 26 breaths per minute. The symptoms subside
with the administration of dantrolene. What should the nurse include in the patient's
postoperative instructions? *
1/1
A. Taking antipyretics will bring your body temperature down.
B. Do not have any future surgeries under general anesthesia.
C. Consider getting genetic testing for malignant hyperthermia.
 
D. You should refrain from using any products that may contain latex

 
Which of the following knife blade is used in large skin incisions? *
1/1
#10
 
#11
#15
#16

 
When administering naloxone, the nurse should monitor the surgicalclient closely for
which clinical manifestation? *
1/1
1. dizziness
2. biliary colic
3. bleeding
 
4. urine retention

 
You are interviewing a surgical patient Almacen in the holding area. Which information
should the you report to the anesthesiologist? Select all that apply. *
1/1
1.The client has loose, decayed teeth.
 
2.The client is experiencing anxiety.
3.The client smokes two (2) packs of cigarettes a day.
4.The client has had a chest x-ray which does not show infiltrates.
5.The client reports using herbs

 
These broken down by the body over time by processes such as hydrolysis and
enzymatic degradation. The amount of time this takes depends on the material, but
also the location of insertion and the individual patient characteristics. The absorption
rate of a suture can increase in patients with ongoing infection, a fever or protein
deficiency. The refers to what type of suture? *
···/1

Absorbable Sutures