The surgical patient is a 35-year-old woman who has been administered general anesthesia. The nurse recognizes that the patient is in stage II (the excitement stage) of anesthesia
Which intervention would be most appropriate for the nurse to implement during this stage?
A) Rub the patient's back.
B) Restrain the patient.
C) Encourage the patient to express feelings.
D) Stroke the patient's hand.
Ans: B
Feedback:
In stage II, the patient may struggle, shout, or laugh. The movements of the patient may be uncontrolled, so it is essential the nurse help to restrain the patient for safety. None of the other listed actions protects the patient's safety.
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