Risks of Anesthesia

~ Exam ~

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This test has 18 questions.

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1. It's important for nurses to understand the risks related to anesthesia because:

  a. Nurses are responsible for explaining the risks and benefits of anesthesia to patients.

  b. Nurses make anesthetic recommendations for the patients in their care.

  c. Nurses are patient advocates and have frequent opportunities for patient education.

  d. Nurses don't need to know about anesthesia risks.

2. Mr. Henry Jones is an 81-year-old man undergoing a radical prostatectomy for prostate cancer. He has congestive heart failure and diabetes mellitus, and underwent cardiac bypass surgery eight years ago. His brother experienced malignant hyperthermia five years ago during a kidney transplant. What are Mr. Jones' general risk factors for anesthetic complications?

  a. Prostate cancer and congestive heart failure.

  b. Age, co-morbidities, and family history.

  c. Malignant hyperthermia and renal failure.

  d. Cardiac bypass surgery and diabetes.

3. Which co-morbidities increase Mr. Jones' risk for anesthetic complications?

  a. Age, co-morbidities, and family history.

  b. Malignant hyperthermia and renal failure.

  c. Cardiac bypass surgery and prostatectomy.

  d. Cardiovascular disease and diabetes mellitus.

4. Mr. Scott Brown is a 41-year-old man scheduled to undergo a hernia repair. He has smoked one pack of cigarettes per day for the last 20 years. You know that smoking increases his risk of anesthetic complications because:

  a. Smoking increases the amount of anesthetic required.

  b. Smoking increases airway hyperreactivity and the risk of pulmonary complications.

  c. Smoking causes hypothermia.

  d. Smoking increases the risk of delirium after anesthesia.

5. The drug of choice for malignant hyperthermia is:

  a. Dantrolene

  b. Ranitidine

  c. Succinylcholine

  d. Versed

6. The ASA Physical Status Classification has _________ levels?

  a. 6

  b. 5

  c. 4

  d. 3

7. The current estimated mortality rate associated with anesthesia is:

  a. 1 in 10,000

  b. 1 in 50,000

  c. 1 in 100,000

  d. 1 in 250,000

8. Mrs. Betty Crawford is a 36-year-old woman undergoing a scheduled Cesarean section. She asks if she can be "put out completely" for the delivery. You respond:

  a. General anesthesia shouldn't be a problem.

  b. Pregnant and delivering women are at high risk for aspiration and airway difficulties with general anesthesia.

  c. Cesarean sections are done without anesthesia.

  d. The surgeon will determine the anesthetic at the time of surgery.

9. Peripheral nerve injuries can occur during surgery from:

  a. Tracheal intubation.

  b. Muscle relaxants.

  c. Improper positioning.

  d. Allergic reactions.

10. Endotracheal intubation can result in:

  a. A broken nose.

  b. Dental and oral trauma.

  c. Suffocation.

  d. Eye trauma.

11. Mr. Bill Woods underwent cardiac bypass surgery yesterday. This was his first time undergoing general anesthesia. He tells you that he remembers hearing the surgeon ask for different instruments during the surgery. He doesn't remember feeling any pain, but he couldn't move or open his eyes, although he tried. Mr. Woods likely experienced:

  a. An allergic reaction to the anesthetic.

  b. Awake-state anesthesia.

  c. Malignant hyperthermia.

  d. Intraoperative awareness.

12. Mr. Woods asks you how often people wake up during surgery. He says he's afraid to have general anesthesia in the future if this could happen again. You reply:

  a. One to two per 1000 people who receive general anesthesia experience intraoperative awareness.

  b. Five percent of people who receive general anesthesia experience intraoperative awareness.

  c. Ten percent of people who receive general anesthesia experience intraoperative awareness.

  d. Twenty-five percent of people who receive general anesthesia experience intraoperative awareness.

13. Mr. Woods' wife says she saw a news report about brain-wave monitors preventing people from waking up during surgery. You respond:

  a. Brain-wave monitors prevent intraoperative awareness 100% of the time.

  b. No research has been done on the use of brain-wave monitors in preventing intraoperative awareness.

  c. Research shows use of brain-wave monitors in preventing intraoperative awareness to be uncertain, since instances of awareness have occurred even when brain-wave monitors are used.

  d. Most hospitals don't use brain-wave monitors because they're too expensive.

14. What are two sources of anaphylaxis during surgery?

  a. Medications and oxygen.

  b. Electrical equipment and anesthetics.

  c. Anesthetics and Lactated Ringers solution.

  d. Natural rubber latex and medications.

15. Mrs. Helen Rice, age 65, is scheduled to undergo a knee replacement. She tells you that she's allergic to anesthesia because she had a "reaction" after her gallbladder removal 15 years ago. Which symptoms signify a true allergic reaction?

  a. Nausea and vomiting.

  b. Facial/oral swelling and vascular collapse.

  c. Itching and nausea.

  d. Skin redness and fever.

16. Allison Kimmel, age 8, has spina bifida. She has undergone multiple surgeries since birth, and has developed a natural rubber latex sensitivity with hives, facial swelling, and wheezing on exposure to latex. During her last surgery a year ago, which was under regional anesthesia, the surgeon inadvertently wore latex gloves at the start of the case, and Allison developed hypotension and airway swelling. She had to be intubated and was in the pediatric intensive care unit on a ventilator for three days postoperatively. Allison is being admitted now for bladder surgery. In an effort to avoid an anaphylactic reaction this time, the surgical team is planning ahead to use latex precautions during the case. Which of the following is not an appropriate action for a latex-allergic patient undergoing surgery?

  a. Schedule the surgery as the first case of the day.

  b. Avoid using natural rubber latex gloves.

  c. Use latex-safe procedure trays and equipment.

  d. Allow one hour between the previous case and the latex-sensitive case for the operating room to air out.

17. Miss Molly Granger has returned to the surgical floor after an appendectomy. Which of the following is not an after-effect of anesthesia?

  a. Fever.

  b. Nausea and vomiting.

  c. Hypothermia.

  d. Sedation.

18. Which of the following nurses can administer anesthesia?

  a. Postanesthesia Care Unit nurse.

  b. Intensive Care Unit nurse.

  c. Certified Registered Nurse Anesthetist.

  d. Clinical Nurse Specialist.