A novice nurse says, "We want to keep our patients in Stage 4 anesthesia during their surgery." How should the supervising nurse interpret this statement?
1. The novice nurse has made an error in this statement.
2. Stage 4 anesthesia is avoided.
3. This is a good description of the goal of anesthesia.
4. The novice nurse should have said Stage 3 anesthesia.
5. A more accurate statement would be that the patient is maintained in anxiolysis anesthesia.
Correct Answer: 1,2,4
Rationale 1: Stage 4 is not the goal for anesthesia.
Rationale 2: In Stage 4, the medulla is paralyzed and breathing and circulation could stop. This stage is avoided.
Rationale 3: This is not the goal of anesthesia.
Rationale 4: The goal of anesthesia is rapid induction through Stages 1 and 2 with the patient remaining in Stage 3 until the end of the procedure.
Rationale 5: Anxiolysis is a term used to describe minimal sedation, not general anesthesia.
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