Author Question: A patient will receive intravenous midazolam (Versed) combined with fentanyl while undergoing an ... (Read 62 times)

Mr3Hunna · **on:** Jul 23, 2018

A patient will receive intravenous midazolam (Versed) combined with fentanyl while undergoing an endoscopic procedure. The nurse is explaining the reasons for this to a nursing student before the procedure.

Which statement by the student indicates understanding of the teaching?
a. The patient may appear anxious and restless during the procedure.
b. The patient will be unconscious during the procedure.
c. The patient will not need cardiorespiratory support during the procedure.
d. The patient will not remember the procedure.

Question 2

An anesthesiologist completes preoperative teaching for a patient the night before surgery. The patient asks the nurse to clarify the reason thiopental sodium will be given as an adjunct to the anesthetic.

Which statement by the patient indicates understanding?
a. Pentothal allows a larger amount of inhaled anesthetic to be used without increased side effects.
b. Pentothal is given to enhance the analgesic and muscle relaxation effects of the inhaled anesthetic.
c. Pentothal is used to produce rapid unconsciousness before administration of the inhaled anesthetic.
d. Pentothal is used to reduce cardiovascular and respiratory depression caused by the inhaled anesthetic.

Bigfoot1984 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Midazolam, combined with an opioid analgesic, is used for conscious sedation for minor surgeries and endoscopic procedures. It does not cause anesthesia during this state, which is characterized by sedation, analgesia, amnesia, and lack of anxiety. The patient will not remember the events even though the person will be able to respond to commands during the procedure. The patient will appear unperturbed and passive and not anxious or restless. The patient is sedated, not unconscious. Midazolam can cause dangerous cardiorespiratory effects, including respiratory depression and respiratory and cardiac arrest.

Answer to Question 2

ANS: C
Thiopental sodium, a short-acting barbiturate, is given intravenously for induction of anesthesia. It has a rapid onset and short duration and must be followed immediately by an inhalation anesthetic. It does not alter the side effects of inhalation anesthetics. Most adjuncts to inhalation anesthetics are given so that lower doses of the anesthetic may be used. Thiopental sodium has very weak analgesic and muscle relaxation effects. Thiopental sodium causes cardiovascular and respiratory depression.