Author Question: The anesthesiologist elects to use an opioid as adjunct to anesthesia for pain relief. Because of ... (Read 23 times)

Awilson837 · **on:** Jul 23, 2018

The anesthesiologist elects to use an opioid as adjunct to anesthesia for pain relief. Because of the use of this drug, the nurse is more alert to monitor the client for which occurrence?

1. Risk for Addiction
2. Risk for Profound Hypotension
3. Risk for Respiratory Depression
4. Risk for Diaphragmatic Paralysis

Question 2

Which assessment would indicate that surgical anesthesia has not been achieved for the client undergoing surgery with a general anesthetic?

1. Muscle rigidity
2. A reduction in heart rate
3. Slowed eye movements
4. Loss of consciousness

abro1885 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Addiction is not associated with short-term use of opioids.
Rationale 2: Profound hypotension is not as much of a risk as is respiratory depression.
Rationale 3: Respiratory depression is a common side effect of opioids.
Rationale 4: Diaphragmatic paralysis occurs with neuromuscular blockers. Diaphragmatic paralysis is not associated with administration of opioids.
Global Rationale: Respiratory depression is a common side effect of opioids. Addiction is not associated with short-term use of opioids. Profound hypotension is not as much of a risk as is respiratory depression. Diaphragmatic paralysis occurs with neuromuscular blockers. Diaphragmatic paralysis is not associated with administration of opioids.

Answer to Question 2

Correct Answer: 1
Rationale 1: Surgical anesthesia produces muscle paralysis. Muscle rigidity or muscle spasms would indicate that surgical anesthesia has not been achieved.
Rationale 2: Reduction of heart rate is the expected finding of surgical anesthesia.
Rationale 3: Slowed eye movements are expected in surgical anesthesia.
Rationale 4: Loss of consciousness is an expected effect of surgical anesthesia.
Global Rationale: Surgical anesthesia produces muscle paralysis. Muscle rigidity or muscle spasms would indicate that surgical anesthesia has not been achieved. Reduction of heart rate, slowed eye movement, and loss of consciousness are the expected findings of surgical anesthesia.