The nurse is preparing a client for an upper GI endoscopy. Which ...

[jrubin]

The nurse is preparing a client for an upper GI endoscopy. Which of the following types of anesthesia would the nurse anticipate the client to receive?
 
  1. Local anesthesia
  2. Spinal anesthesia
  3. Epidural anesthesia
  4. Conscious sedation

Question 2

The nurse is preparing to complete a physical assessment before surgery. Which of the following should the nurse obtain?
 
  1. Mini mental status
  2. Assessment of hearing
  3. Assessment of the respiratory system
  4. Gastrointestinal assessment
  5. Maintain NPO status

[ebe]

Answer to Question 1

Correct Answer: 4
Rationale 1: Local anesthesia is used for minor surgical procedures such as suturing a small wound or performing a biopsy.
Rationale 2: Spinal anesthesia is used for surgeries such as hernia repairs, rectal surgeries, or cesarean sections.
Rationale 3: Epidural anesthesia is the introduction of an anesthetic into the epidural space.
Rationale 4: Conscious sedation is often used for procedures such as endoscopies and incision and drainage of abscesses.

Answer to Question 2

Correct Answer: 1,2,3,4
Rationale 1: A brief or mini mental status examination provides valuable baseline data for evaluating the client's mental status and alertness after surgery. It is also important to evaluate the client's ability to understand what is happening.
Rationale 2: Assessment of hearing helps guide the effectiveness of perioperative teaching.
Rationale 3: Respiratory assessment not only provides baseline data for evaluating the client's postoperative status but may alert care providers to a problem that may affect the client's response to surgery and anesthesia.
Rationale 4: The gastrointestinal status provides baseline data.
Rationale 5: Maintaining NPO status is a nursing intervention. It is not included in the physical assessment.