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WorksheetsWeek 6 Practice Quiz - Anesthesia
Total questions: 13
Worksheet time: 7mins
You are taking care of a patient who needs sutures in their Right thumb. The physician orders Lidocaine and Epinephrine for local anesthesia. Why should you question the order?
Injecting Lidocaine into a finger can cause necrosis
This order is appropriate for this patient
Lidocaine and Epinephrine are never used in combination
Injecting Epinephrine into a finger can cause necrosis
You are assisting a doctor that should have retired many years ago. He orders Procaine for local anesthesia. Since Procaine is an ester-type, what are you going to specifically monitor your patient for?
Methemoglobinemia
Allergic Reaction
Hypertension and Tachycardia
Psychological Dependence
Cocaine, as an anesthetic, is currently used for:
Dental Procedures
Teething Infants
Chronic Pain - by perscription only
Eye and Ear, Nose, & Throat Surgeries
You are teaching your patient about a topical anesthetic. What, about toxicity, are you going to include in your instructions?
"Avoid applying a hot compress with this. Increased skin temperature also increases absorption."
"It is okay to engage in strenous exercise when using this medication."
"Avoid applying an ice pack with this. Decreased skin temperature increases absorption."
"Local Anesthetics do not cause toxicity. You can use as much as you want."
You are assisting in the Labor & Delivery OR, where your patient is scheduled for a C-section. The CRNA has just administered spinal anesthesia. What position are you going to place your patient in to prevent spinal headache?
Supine
High Fowlers
Prone
Reverse Trendelenberg
While analgesia is defined by the loss of sensation to pain only, anesthesia is the loss of sensation to pain AND:
touch, temperature, & consciousness
touch, temperature, & taste
environment
analgesia and anesthesia are the same
You are working in the OR and the CRNA is getting ready to administer an inhaled anesthetic that has a MAC of 1.6. After learning about MAC in pharm 1, you know which anesthetic is definitely NOT being given?
Isoflurane
Nitrous Oxide (Laughing Gas)
Enflurane
Sevoflurane
Isoflurane and Desflurane are not commonly used for induction because they are both:
Not very effective for induction
Pleasantly scented but can cause respiratory irritation
Highly toxic
Very pungent and cause respiratory irritation
The CRNA is adding Nitrous Oxide to the combination of anesthesia given to the patient. What is the benefit of this?
Reduces the need for a large dose of other anesthetics
Reduces the incidence of post-op nausea and vomiting
Reduces the need for post-op opioid analgesia
There is no benefit
The year is 1989, and you are a corrections nurse at the Florida State Penitentiary where Ted Bundy is scheduled to die by lethal injection. You expect which anesthetic to be used for this procedure?
Midazolam (Versed)
Propofol (Diprivan)
Etomidate (Amidate)
Thiopental (Pentothal)
As an OR nurse, you are getting ready for your 3rd case of the day when the CRNA asks for a multi-use vial of Propofol. The vial you opened earlier has been open for 8 hours. Why are you going to discard this vial and get a new one?
So you can charge the patient for a new vial
To reduce the risk for infection since Propofol is in a lipid-based solution
To reduce the risk for infection since Propofol is in a dextrose-based solution
No need to discard. This vial will be okay until the 24 hour mark.
Which anesthetic is less likely to cause complications in patients with underlying cardiovascular disease?
Etomidate (Amidate)
Propofol (Diprivan)
Midazolam (Versed)
Sevoflurane
You are getting the OR ready for a patient who is going to be anesthetized. What 2 pieces of equipment do you need to ensure are present before and during the procedure?
Ventilator & NG Tube
Ventilator & Crash Cart
NG Tube & Crash Cart
Stethoscope & Ventilator
