A client is in stage 2 of general anesthesia. What action by the nurse is most important?
a. Keeping the room quiet and calm
b. Being prepared to suction the airway
c. Positioning the client correctly
d. Warming the client with blankets
ANS: B
During stage 2 of general anesthesia (excitement, delirium), the client can vomit and aspirate. The nurse must be ready to react to this potential occurrence by being prepared to suction the client's airway. Keeping the room quiet and calm does help the client enter the anesthetic state, but is not the priority. Positioning the client usually occurs during stage 3 (operative anesthesia). Keeping the client warm is important throughout to prevent hypothermia.
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Which factor is the success of most vaccines in establishing an antigen-antibody response de-pendent upon?
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a. Pad the siderails of the client's bed. b. Assist the client to change positions slowly. c. Use a lift sheet to change the client's posi-tion. d. Keep suctioning equipment at the client's bedside.
A client's bed partner reports the client often has irregular snoring and silence followed by a snort. Does this warrant further assessment?
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