Medical-Surgical Nursing › Perioperative Care · 91 questions on this topic in NurseRank, 3 free to practise now.
Practise Anesthesia for NORCET, RRB, ESIC, CHO and state nursing officer exams. Read the 2 sample questions below, tap Show answer and explanation to check yourself, then open the full topic practice.
Q1. The nurse is assessing a patient who had epidural anesthesia 4 hours ago. What would the nurse assess first?
Bladder distention
Ability to move the legs
Headache
Postoperative pain
Show answer and explanation
Answer: A. Bladder distention
The last area to regain sensation is the perineal area, and the nurse should check the patient for a distended bladder. The patient has received a large volume of intravenous fluids since the epidural was inserted, and the patient may not feel the urge to void or may be unable to void. In that case, the nurse should obtain a prescription to catheterize the patient before the bladder becomes so distended as to cause bladder spasms. The nurse should assess for a spinal headache, postoperative pain, and the patient's ability to move after determining whether the bladder is distended.
Q2. The nursing student is preparing a patient who will have spinal anesthesia for surgery. The nurse in charge asks the nursing student to identify which highest priority preoperative data to report to the nurse on the next shift who will care for the patient postoperatively?
Pulse rate of 78 beats/min
Voided 300 mL preoperatively
Blood pressure of 126/78 mm Hg
Presence of weakness in the left lower extremity
Show answer and explanation
Answer: D. Presence of weakness in the left lower extremity
It is important to document and report any preoperative weakness or impaired movement of a lower extremity in the patient who is to have spinal anesthesia because it causes temporary paralysis of the lower extremities. When the patient's function returns, the preoperative weakness or impairment will not be misinterpreted as a complication of anesthesia. Options A, B, and 3 may be documented and reported, but they are not the highest priority.
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Which exams do these Anesthesia MCQs help with?
They are useful for AIIMS NORCET, RRB, ESIC, CHO, DSSSB and state staff nurse or nursing officer exams, and for NCLEX-style practice.
