The nurse is caring for a preoperative patient. The patient asks, "What type of anesthesia causes a total loss of sensation and a complete loss of consciousness?" Which of these responses should the nurse give?
a. "Epidural anesthesia"
b. "Spinal anesthesia"
c. "Local anesthesia"
d. "General anesthesia"
ANS: D
B. General anesthesia causes the patient to lose sensation, consciousness, and reflexes. A, C, and D are local types of anesthesia that do not cause total loss of sensation and a complete loss of consciousness.
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The patient has undergone intracerebral surgery. Knowing that interruption of the skull interferes with the brain's ability to autoregulate, what nursing assessment information most clearly indicates the highest patient risk?
A) Pulmonary adventitious sounds B) Capillary refill less than 2 seconds C) Blood pressure consistently elevated D) Pain at 8 on 0-to-10 scale
During assessment, the nurse is most likely to find the attitude of the depressed client toward his
illness to be a. "It's just a matter of time and I'll be well.". b. "If I ignore this, it will go away.". c. "I can fight this and lick it.". d. "I deserve to be this way.".
Which patient would the nurse recognize as eligible for referral to Medicaid?
1. A military auto mechanic with severe asthma 2. A pregnant unmarried young woman employed at a discount retail store for 3 years 3. A college student on scholarship who works part time at the college library who needs medication for arthritis 4. An unemployed young mother on welfare who needs diabetic medication for one of her children
The nurse is caring for a client with AIDS who has just been diagnosed with cryptococcal meningitis. Which is the best nursing intervention for this client?
a. Initiate respiratory isolation for the next 72 hours. b. Initiate seizure precautions with padded siderails. c. Thicken the client's liquids to honey con-sistency. d. Administer IV pentamidine isethionate (Pentam).