The patient is in Stage 2 of general anesthesia. What are the priority nursing interventions at this time?
1. Assist the anesthesiologist in repositioning the patient.
2. Complete the surgical scrub.
3. Keep the environment quiet and calm.
4. Insert the indwelling urinary catheter.
3
Rationale 1: It is not appropriate to reposition the patient during Stage 2 of anesthesia.
Rationale 2: It is not appropriate to complete the surgical scrub during Stage 2 of anesthesia.
Rationale 3: The patient is hyperexcitable in Stage 2 of anesthesia so the environment must be kept quiet to minimize stimulation.
Rationale 4: It is not appropriate to insert an indwelling urinary catheter during Stage 2 of anesthesia.
Global Rationale: The patient is hyperexcitable in Stage 2 of anesthesia so the environment must be kept quiet to minimize stimulation. It is not appropriate to reposition the patient during Stage 2 of anesthesia. It is not appropriate to insert an indwelling urinary catheter during Stage 2 of anesthesia. It is not appropriate to complete the surgical scrub during Stage 2 of anesthesia.
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