Author Question: The surgical nurse is preparing a novice nurse for the first day in the operating suite. Which ... (Read 58 times)

future617RT · **on:** Jul 23, 2018

The surgical nurse is preparing a novice nurse for the first day in the operating suite. Which comment by the surgical nurse best explains what can be expected when the client is given succinylcholine (Anectine)?

1. We don't have to worry too much about the client's cardiovascular status on this drug.
2. The client will rapidly lose consciousness with drug administration.
3. The client will need assistance with breathing, as it paralyzes the muscles of respiration.
4. We'll see that the effects of succinylcholine administration are much like those of atropine.

Question 2

The client is in stage 3 of general anesthesia, known as surgical anesthesia. The nurse anticipates which findings in this client's assessment?

1. Relaxation, stable respiration, and slow eye movements are present.
2. Breathing ceases.
3. Heart rate and breathing become irregular.
4. General sensation is lost.

pratush dev · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Serious cardiovascular adverse effects are possible with the use of succinylcholine.
Rationale 2: Neuromuscular blockers do not affect consciousness.
Rationale 3: Succinylcholine (Anectine) is a neuromuscular blocker that paralyzes muscles, including those of respiration.
Rationale 4: Succinylcholine and atropine are both cholinergic blockers, but they produce very different effects.
Global Rationale: Succinylcholine (Anectine) is a neuromuscular blocker that paralyzes muscles, including those of respiration. Serious cardiovascular adverse effects are possible with the use of succinylcholine. Neuromuscular blockers do not affect consciousness. Succinylcholine and atropine are both cholinergic blockers, but they produce very different effects.

Answer to Question 2

Correct Answer: 1
Rationale 1: In stage 3, or surgical anesthesia, the skeletal muscles become relaxed, cardiovascular and breathing activities stabilize, and eye movements slow.
Rationale 2: Paralysis of the medulla, which results in cessation of breathing, is stage 4 anesthesia, which is avoided.
Rationale 3: Heart rate and breathing become irregular in stage 2.
Rationale 4: General sensation is lost in stage 1, not stage 3.
Global Rationale: In stage 3, or surgical anesthesia, the skeletal muscles become relaxed, cardiovascular and breathing activities stabilize, and eye movements slow. Paralysis of the medulla, which results in cessation of breathing, is stage 4 anesthesia, which is avoided. Heart rate and breathing become irregular in stage 2. General sensation is lost in stage 1, not stage 3.