A patient with a ruptured abdominal aortic aneurysm needs to have major surgery. The family asks the nurse what type of anesthesia the patient will receive. The best response is which of the following?
a. Local anesthesia
b. Regional anesthesia
c. Moderate sedation
d. General anesthesia
D
General anesthesia is administered during major procedures requiring extensive tissue manipulation or any time analgesia, muscle relaxation, immobility, and control of the autonomic nervous system are required. Local anesthesia involves loss of sensation at the desired surgical site by inhibiting peripheral nerve conduction. It is used during minor procedures performed in ambulatory surgery. Regional anesthesia results in loss of sensation in an area of the body by anesthetizing sensory pathways. This type of anesthesia is accomplished by injecting a local anesthetic along the pathway of a nerve from the spinal cord. Administration techniques include peripheral nerve blocks and spinal, epidural, and caudal blocks. A patient requires careful monitoring during and immediately after regional anesthesia for return of sensation and movement distal to the regional anesthesia. Intravenous moderate sedation/analgesia or conscious sedation is routinely used for diagnostic or therapeutic procedures (e.g., colonoscopy or certain laparoscopies) that do not require complete anesthesia but simply a decreased level of consciousness.
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A nurse is frequently absent on Fridays. The nurse phones and reports as sick, but the manager discovers that the absences are due to child care issues. How should the manager document this on the critical incident form?
1. Voluntary absence on multiple Fridays due to child care issues 2. Absence frequency on Fridays 3. Total time lost includes Fridays 4. Involuntarily absent due to family circumstances
Increased risk factors of adverse outcome for hip replacement surgery include advanced age, male gender, black race, existing health problems, and a low income
Indicate whether the statement is true or false
When administering IV vancomycin, the nurse should:
a. monitor the client for ototoxicity. b. maintain the client on complete bed rest. c. infuse this drug over a minimum of one hour. d. infuse this agent as an IV bolus.
How should the nurse define bonding to a group of pregnant patients attending prenatal classes?
A) A process of developing an attachment and becoming acquainted with each other B) The skin-to-skin contact that occurs in the delivery room C) An ongoing process in the year after delivery D) Family growing closer together after the birth of a new baby