A client admitted to a local health care facility is to undergo ...

[mspears3]

A client admitted to a local health care facility is to undergo surgery with spinal anesthesia. Which of the following is the nurse most likely to observe when caring for this client?
 
  A) Moderate muscle relaxation
  B) Loss of feeling in the lower abdomen
  C) Hypotension as anesthesia deepens
  D) Increase in the client's heart rate

Question 2

A client admitted to a health care facility for an appendectomy receives methohexital as a general anesthetic. Which of the following would most likely occur as a result of this medication?
 
  A) Skeletal muscle relaxation
  B) Profound analgesia
  C) CNS depression
  D) Neuroleptanalgesia

[aidanmbrowne]

Answer to Question 1

Ans: B
Feedback:
Spinal anesthesia involves the injection of a local anesthetic drug into the subarachnoid space of the spinal cord. There is a loss of feeling (anesthesia) and movement in the lower extremities, lower abdomen, and perineum. Spinal anesthesia is not known to increase a client's heart rate. Spinal anesthesia also does not cause hypotension or moderate muscle relaxation. Enflurane is a volatile liquid anesthetic that causes hypotension once it deepens. Halothane, which is a volatile liquid anesthetic, produces moderate muscle relaxation. Both halothane and enflurane are drugs used for general anesthesia.

Answer to Question 2

Ans: C
Feedback:
Methohexital is an ultrashort-acting barbiturate that depresses the CNS to produce hypnosis and anesthesia, but it does not produce analgesia. Skeletal muscle relaxation is caused by skeletal muscle relaxants, halothane, and enflurane. An anesthetic state characterized by profound analgesia is produced by ketamine, which is a rapid-acting general anesthetic. Neuroleptanalgesia is caused by a combination of fentanyl and droperidol.

[mspears3]

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[aidanmbrowne]

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