HESI Anesthesia Review
Within how many hrs after a sx procedure requiring general anesthesia would the nurse expect a client to void? 4 hrs 8 hrs 10 hrs 12 hrs
8 hrs
Nursing actions after a client has had general anesthesia are directed at preventing which postop resp complication? Pleural effusion Empyema Pneumothorax Atelectasis
Atelectasis
A childs blood test after receiving a general anesthetic indicates increased Intracellular calcium levels. Which med would the nurse anticipate admin to this client? Aspirin Naproxen Ibuprofen Dantrolene
Dantrolene
Which med would the nurse expect to admin to actively reverse overdose sedative effects of benzodiazepines? Lithium Flumazenil Methadone Chlorpromazine
Flumazenil
A client is scheduled to receive general anesthesia during an upcoming sx. The nurse provides education about common side effects of general anesthesia. The nurse concludes that the teaching has been effective when the client has what response? I may have an elevated temp I may have paroxysmal hiccoughs I may have transient headaches I may have a sore throat
I may have a sore throat
Which action will the nurse anticipate needing to take when a client develops hypotension immediately after receiving spinal anesthesia? Increase IV flow rate Reschedule sx procedure Have client move extremeties Infuse med to increase HR
Increase IV flow rate
Which type of needs would the nurse identify as high priority in prioritization of client care? Dev needs Long term care needs Potential needs in care Needs that affect safety
Needs that affect safety
Which adverse effect of morphine indicates need for Naloxone admin? Blurred vision Urinary retention Mental confusion Resp depression
Resp depression
Which adverse effect will the nurse monitor for in a client who has been admin a neuromuscular blocking agent before electroconvulsive therapy? Seizures Vomiting Loss of memory Resp depression
Resp depression
Which assessment finding would be impt for the nurse to report to the HCP when caring for a client who is in post anesthesia care unit after receiving general anesthesia? Attempting to push airway out Unresponsive to verbal stimulation Resp at 16/min & unlabored Systolic BP decreased from 130->90 mm Hg
Systolic BP decreased from 130->90 mm Hg
After a gastroscopy, which technique would the nurse utilize to assess for the return of a clients gag reflex? Touching pharynx w tongue depressor Giving small Amt of water using oral syringe Observing clients swallowing ability Instructing client to breathe deeply & cough gently
Touching the pharynx w a tongue depressor
Which action will the nurse take when client prescribed morphine surface via IV route q3hrs PRN requests med for pain given that preop BP was 128/76 & postop reveal BP ranges between 90/60 & 100/70? Admin morphine as prescribed Obtain prescription for vasoconstrictor Give 1/2 prescribed Amt of morphine Withhold morphine until BP stabilizes
Withhold morphine until BP stabilizes
A client who is scheduled for a muscle biopsy tells the nurse "They better give me a general anesthetic. I don't want to feel anything". Which is the MOST therapeutic initial response by the nurse? You seem to be worried about the test This test is done under local anesthesia Tell them when you have pain so they can take care of it You prob won't have pain so try not to think about it
You seem to be worried about the test
