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OR Nurse:
doi: 10.1097/01.ORN.0000432342.84795.17
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Anesthesia 101: Everything you need to know

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INSTRUCTIONS Anesthesia: 101 Everythingyou need to know


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Anesthesia 101: Everything you need to know

GENERAL PURPOSE: The purpose of this learning activity is to provide information about anesthesia and nursing considerations during anesthesia.

LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to: 1. Describe procedures used during anesthesia administration and considerations for nursing practice. 2. Discuss nursing implications related to the medications used for anesthesia induction and pain control.

1. General anesthesia is selected

a. for patients at risk for airway compromise.

b. when complete immobility and unconsciousness is required.

c. when pain relief is needed only in the operative area.

d. when the patient must remain conscious.

2. After an I.induction anesthesia drug is given, unconsciousness occurs in about

a. 1 minute.

b. 2 minutes.

c. 3 minutes.

d. 5 minutes.

3. Which isn't a primary goal of general anesthesia?

a. analgesia

b. immobility

c. minimal sedation

d. amnesia

4. Which statement about the excitement period of general anesthesia is accurate?

a. It occurs only in children.

b. It occurs while the patient is unconscious.

c. The exaggerated responses result from heightened visual senses.

d. The patient is at risk for airway compromise and physical injury.

5. The LMA should be avoided when the patient

a. will be supine during surgery.

b. is expected to have a surgery lasting less than 2 hours.

c. is having surgery on upper extremities.

d. has a high risk of aspiration.

6. Midazolam

a. reduces anxiety and causes amnesia.

b. often causes adverse cardiovascular effects.

c. is usually administered after the patient is unconscious.

d. is typically administered after the induction agent has been given.

7. During standard induction with intubation,

a. oxygen is not needed once the I.induction agent is given.

b. the patient must be intubated before the NMBD is given.

c. the patient is ventilated by mask 1 to 3 minutes until paralysis is complete.

d. nitrous oxide is used to treat tachycardia.

8. ETT placement is best verified by

a. direct visualization.

b. continuous capnography.

c. arterial blood gases.

d. chest X-ray.

9. Which statement about rapid sequence induction is not accurate?

a. It uses cricoid pressure during induction.

b. It is used for patients at risk of aspiration.

c. A second suction set-up should be readily available.

d. Manual ventilation is required until ETT placement is verified.

10. The I.induction agent, propofol

a. may cause hypertension.

b. has a slow return to a clear mental state at recovery.

c. aggravates PONV.

d. reduces the incidence of PONV.

11. Etomidate

a. can cause a dose-dependent adrenocortical suppression.

b. causes minimal PONV.

c. is typically administered throughout the surgery.

d. has significant adverse cardiovascular effects.

12. Ketamine

a. is preferable for patients with ischemic cardiovascular disease.

b. can only be administered by I.injection.

c. is beneficial for the emergency trauma patients with substantial blood loss.

d. induces unconsciousness by depressing central nervous system activity.

13. Methohexital

a. is a long-acting opioid.

b. is an ultrashort-acting oxybarbiturate.

c. reduces the seizure threshold.

d. is an inhalation agent.

14. The inhalation agent nitrous oxide

a. has antiemetic properties.

b. can be used alone for general anesthesia.

c. is delivered by a flow meter on the AGM.

d. should exceed a 70% concentration.

15. Succinylcholine

a. can be quickly reversed.

b. may cause dysrhythmias.

c. may cause significant hypokalemia.

d. has a rapid onset and slow recovery.

16. Ketorolac

a. is muscle relaxant that may cause fasciculations.

b. is recommended for the patient at high risk for bleeding.

c. produces a dissociative effect.

d. shouldn't be used in the patient with impaired kidney function.

17. Which drug is a nondepolarizing NMBD?

a. Vecuronium

b. Neostigmine

c. Glycopyrrolate

d. Succinylcholine

18. Which statement about epidural anesthesia is accurate?

a. The dura is punctured to inject medication.

b. Medication is injected between the ligamentum flavum and dura.

c. It significantly impairs motor function.

d. A smaller volume of local anesthetic is needed for epidural anesthesia compared to spinal anesthesia.

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