A client is having major surgery tomorrow. Which statement by the client indicates understanding of the preop teaching?
1. "I will probably feel pain during the procedure."
2. "I won't feel a thing because I will be asleep."
3. "I will lose consciousness, movement, and memory."
4. "I will retain all memory of my procedure."
Correct Answer: 3
Rationale 1: "I will probably feel pain during the procedure" is incorrect because the goal of general anesthesia is to provide a rapid and complete loss of sensation.
Rationale 2: "I won't feel a thing because I will be asleep" is incorrect because some brain activity actually increases during sleep.
Rationale 3: The goal of general anesthesia is to provide a rapid and complete loss of sensation. Signs of general anesthesia include total analgesia (no feeling of pain) and loss of consciousness, memory, and body movement. Although these signs are similar to those of sleeping, general anesthesia and sleep are not exactly the same. General anesthetics stop all nervous activity in the brain, whereas sleeping stops activity in only very specific areas. In fact, some brain activity actually increases during sleep.
Rationale 4: "I will retain all memory of my procedure" is incorrect because the goal of general anesthesia is to provide a rapid and complete loss of sensation and loss of consciousness, memory, and body movement.
Global Rationale: The goal of general anesthesia is to provide a rapid and complete loss of sensation. Signs of general anesthesia include total analgesia (no feeling of pain) and loss of consciousness, memory, and body movement. Although these signs are similar to those of sleeping, general anesthesia and sleep are not exactly the same. General anesthetics stop all nervous activity in the brain, whereas sleeping stops activity in only very specific areas. In fact, some brain activity actually increases during sleep. "I will probably feel pain during the procedure" is incorrect because the goal of general anesthesia is to provide a rapid and complete loss of sensation. "I won't feel a thing because I will be asleep" is incorrect because some brain activity actually increases during sleep. "I will retain all memory of my procedure" is incorrect because the goal of general anesthesia is to provide a rapid and complete loss of sensation and loss of consciousness, memory, and body movement.
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