Exam 3 - Coursepoint

A client presents to the emergency department reporting rapid heart rate, severe headache, and pounding in the chest. While obtaining the clients history, the nurse learns the client stopped taking medications because the prescriptions ran out and had no funds to refill them. The nurse knows that which medications being abruptly stopped could be causing these symptoms? Labetalol An antidepressant Tylenol PM Reglan

Labetalol

The nurse is preparing to admit a client who has received conscious sedation. What is the most important area to assess when the client returns from the procedure using this type of anesthesia? Temperature Pulse Respirations Blood pressure

Respirations

The 35-year-old client has presented to the OB ward for her third delivery by cesarean section. The nurse who is caring for this client prepares for which type of anesthesia? General Spinal Topical Local infiltrate

Spinal

A client who is receiving general anesthesia exhibits relaxation of the skeletal muscles. In what stage of anesthesia is this client? Stage 1 Stage 2 Stage 3 Stage 4

Stage 3

A patient is receiving tamsulosin. The nurse understands that this drug is most likely being given for which reason? To relax prostatic smooth muscles To decrease vascular tone To promote vasodilation To induce a reflex tachycardia

To relax prostatic smooth muscles

Norepinephrine is made by nerve cells using which substance? Choline Tyrosine Decarboxylase Glycogen

Tyrosine

The body uses tyrosine in the diet to make what substance? Norepinephrine Glutamate Estrogen Serotonin

Norepinephrine

The nurse is preparing a teaching plan for a patient who is to receive a nonselective beta blocker. The nurse would make sure to address safety measures as a priority for the patient receiving: Carteolol Nadolol Sotalol Propranolol

Propranolol

Which would NOT occur in the body when muscarinic receptors are stimulated? (Mark all that apply.) Pupil constriction Pupil dilation Increased secretions Increased bladder contraction Increased heart rate

Pupil dilation Increased heart rate

A client is experiencing sympathetic stimulation in response to a stressful event. Which substance will most affect the client's sodium and water retention? Aldosterone Thyroid hormone Cortisol Glucose

Aldosterone

The client has been ordered a nonselective beta-blocking agent called propranolol, PO. Propranolol is used in the treatment of which disorders? Hypertension Angina Arrhythmias All the above

All the above

The nursing student identifies which people as qualified to administer anesthesia? (Check all that apply.) Anesthesiologist Physician assistant Nurse anesthetist Surgeon Operating room nurse

Anesthesiologist Nurse anesthetist

A 12-year-old client will undergo surgery with spinal anesthesia. The client expresses a severe fear of needles. Which nurse response is appropriate and therapeutic for this client? "You don't have to worry about the needle because you won't see it. It's going into your back." "Aren't you a little old to be afraid of needles?" "They will give you a numbing needle so you won't feel anything." "I understand that you are nervous, but I'll hold your hand and be right there with you."

"I understand that you are nervous, but I'll hold your hand and be right there with you."

A client sustained a severe laceration to the right thumb and index finger that will require local anesthetic to facilitate suturing. Which statement should prompt the nurse to provide further client health education? "I have to admit I'm relieved that they'll be freezing my hand before they stitch it up." "I'm feeling pretty queasy about getting stitches, so I'm glad they'll be knocking me out." "They told me that it will take a few hours before I can feel my hand again." "If I understand correctly, I won't be able to move my hand normally for a while after getting the anesthesia."

"I'm feeling pretty queasy about getting stitches, so I'm glad they'll be knocking me out."

A 30-year-old woman is in labor and has been provided with nitrous oxide. Before administering this gas, the nurse should provide what teaching point? "This will help with your pain without making you very drowsy." "This will help you to keep laboring but will block out some of the memories after the fact." "This will help you to focus more on your labor." "This will relax you and relieve your anxiety so you can labor effectively."

"This will help with your pain without making you very drowsy."

Prior to elective hip replacement surgery, the nurse is explaining the basic characteristics of general anesthesia to the client. The nurse should perform this education in the understanding that general anesthesia is best described as what result? A nonreversible, temporary state of unresponsiveness A state of reversible unconsciousness A stage N2 non-rapid eye movement sleep A stage N3 non-rapid eye movement sleep

A state of reversible unconsciousness

Nicotinic receptors are found in which area? GI tract Bladder Autonomic basal ganglia Sweat glands

Autonomic basal ganglia

A patient is admitted to the emergency room after a car accident. Based on the experience of the emergency room nurse, what system will affect a response to the emergency? Central nervous system Autonomic nervous system Endocrine system Cardiovascular system

Autonomic nervous system

A client with asthma is prescribed albuterol to dilate the bronchioles. The nurse understands that this drug is likely acting on which receptors? Beta-2 Alpha-1 Alpha-2 Beta-1

Beta-2

The nurse knows that which class of drugs prevents epinephrine and norepinephrine from occupying receptor sites on the cell membranes? Beta-blocking agonist Beta-adrenergic drugs Beta-helping drugs Beta-adrenergic blocking drugs

Beta-adrenergic blocking drugs

Which effect results from activation of beta2 receptors? Pupil constriction Bronchoconstriction Bronchodilation Decreased heart rate

Bronchodilation

A client has come to get lab results at the cardiology clinic. The nurse notes that the digoxin level is elevated. The nurse knows that what other medication may be responsible for the increase in digoxin level? Prozac Zantac Ampicillin Carvedilol

Carvedilol

A client has been prescribed an adrenergic blocking drug for glaucoma. Which nursing interventions should the nurse include when teaching the client? Demonstrate the technique of eye drop instillation Demonstrate the method of cleaning eyes Suggest the client protect his eyes from exposure to sunlight Inform the client about eye drop preservation

Demonstrate the technique of eye drop instillation

What is the most important nursing action when a client is admitted to the postanesthesia recovery unit (PACU)? Ensure the client has adequate respirations. Position the client on his side to prevent aspiration of vomitus. Administer pain medication. Check the client's pulse and blood pressure.

Ensure the client has adequate respirations.

Axons from the CNS neurons end in which structure? Medulla Pons Ganglia Synaptic cleft

Ganglia

The anesthesia care provider visits with the client prior to surgery. The choice of type of drugs to administer to the client during surgery are based on what factors? Select all that apply. General physical condition of the client Client's personal preference Area, organ, or system being operated on Anticipated length of the surgical procedure Cost of the drugs

General physical condition of the client Area, organ, or system being operated on Anticipated length of the surgical procedure

A client has had a stroke and computed tomography reveals infarcts in multiple brain regions. An infarct in which region is most likely to affect the function of the client's autonomic nervous system? Hypothalamus Parietal cortex Amygdala Ventricular system

Hypothalamus

The anesthesiologist has informed the perioperative nurse that a surgical client will be receiving a barbiturate anesthetic. What medication is the client most likely to receive? Methohexital Desflurane Etomidate Nitrous oxide

Methohexital

A client has presented to the radiology department for a scheduled bronchoscopy. What drug will meet the client's needs for amnesia and sedation during this invasive procedure? Midazolam Ketamine Nitrous oxide Bupivacaine

Midazolam

A nurse in the postanesthetic recovery unit is performing an assessment of a client whose balanced anesthesia includes the use of vecuronium. The nurse should recognize an increased risk of recurarization due to the client's history of what medical condition? depression type 2 diabetes myasthenia gravis deep vein thrombosis (DVT)

Myasthenia gravis

The client is having a kidney removed due to a tumor. The circulating nurse in the operating room knows that which stage of anesthesia will be most dangerous to the client? Stage I Stage II Stage III Stage IV

Stage IV

The nurse is caring for a client with asthma who has been experiencing shortness of breath and who has been administered a medication to cause bronchodilation. What aspect of autonomic nervous function has the nurse most likely influenced? Stimulation of beta-adrenergic receptors Reuptake of acetylcholine Synthesis of acetylcholinesterase Inhibition of alpha-adrenergic receptors

Stimulation of beta-adrenergic receptors

A 29-year-old female client in labor has just received epidural anesthesia. Before the procedure her blood pressure was 120/78 and her pulse was 60 bpm. Now her blood pressure is 100/60 and her pulse is 80 bpm. She reports a metallic taste in her mouth, hears a ringing in her ears, and appears confused. What is this client most likely experiencing? Anxiety related to administration of an epidural Systemic toxicity from local anesthesia Signs of preeclampsia A normal adverse effect of local anesthesia

Systemic toxicity from local anesthesia

A 37-year-old client has received procaine hydrochloride (Novocain) in the mouth for a dental procedure. How would the nurse evaluate that the outcome of reduced pain related to a dental procedure has been met? The client's facial expressions are calm and relaxed. The client has not vomited or reported symptoms of nausea. The client demonstrates reduced fear and anxiety. The client reports no pain in the lower extremities.

The client's facial expressions are calm and relaxed.

The nurse is assessing a client. What assessment finding is the clearest indicator of autonomic function? The client's respiratory rate is 22 breaths per minute The client's hearing is intact The client's muscle strength is equal bilaterally The client can discern hot sensation from cold

The client's respiratory rate is 22 breaths per minute

A client has been prescribed the nonselective beta-adrenergic blocker, timolol for the treatment of open angle glaucoma. What instructions should the nurse provide to assure the effectiveness of the medication? Keep the medication refrigerated between administration The proper method for instilling eye drops Be aware that diastolic blood pressure may temporarily rise Medication should be taken with a full glass of fluids

The proper method for instilling eye drops

After the administration of procaine to a client with a history that suggests a possible hypersensitivity to the drug, the nurse should prioritize what assessment? respiratory integumentary neurological musculoskeletal

respiratory

A client with chronic obstructive pulmonary disease (COPD) is experiencing bronchoconstriction. When choosing interventions to address this problem, the nurse should aim to influence the client's autonomic nervous system by stimulating: the parasympathetic response. alpha-adrenergic receptors. beta-adrenergic receptors. acetylcholine release.

beta-adrenergic receptors.

What should the perinatal nurse anticipate will be the anesthetic of choice for a primiparous woman has been in the first stage of labor for 2 hours? spinal anesthesia topical anesthesia epidural anesthesia intravenous anesthesia

epidural anesthesia

A nurse is caring for a client in the critical care unit. Phentolamine (Regitine, OraVerse) has been ordered for the management of tissue necrosis caused by extravasation of parenterally administered drugs. Before administering this drug, the nurse will check the client's chart for indications of: peptic ulcer disease. history of acute myocardial infarction. diabetes mellitus. obesity.

history of acute myocardial infarction.

A patient with diabetes who uses insulin is also receiving labetalol. The nurse would monitor the patient closely for: hypotension. arrhythmias. hypoglycemia. bronchospasm.

hypoglycemia.

Gas anesthetics such as nitrous oxide must be combined with what element before they can be administered to the client? Water Oxygen Nitrogen Helium

Oxygen