In the emergency department (ED), the patient is diagnosed with a dislocated humerus. What type of anesthesia would the nurse anticipate will be used to repair the dislocation in the ED?
a. General
b. Epidural
c. Conscious sedation
d. Local
C
Conscious sedation would relax the muscles and can be administered with an analgesic to allow repair of the dislocation with rapid return to consciousness following the procedure. General anesthesia produces rapid unconsciousness and loss of sensation, but also depresses the patient's central nervous system (CNS) and relaxes the musculature. It produces more extensive effects than would be required for a procedure that will be performed in a few minutes. It also involves more risks than are justified in this case. An epidural anesthetic would not reduce pain or induce muscle relaxation as high up as the shoulder—if it did, it would also paralyze the muscles involved in breathing. A local anesthetic would not adequately relax muscles or anesthetize the shoulder joint.
You might also like to view...
A client is undergoing a series of diagnostic tests. He insists nothing is wrong with him except a
chest cold that he "can't shake off." His wife says he smokes and coughs a lot, has lost 15 pounds, and is easily fatigued. The defense mechanism the client is using is a. regression. b. displacement. c. denial. d. projection.
The nurse is beginning the care of a 38-year-old adult mother of two who has just come to the ER with an acute asthma attack. The nurse is told that the patient's family is anxiously waiting to see him
Which of the following responses by the nurse reflect his understanding of the family's needs? 1. "I will go and answer the family's questions as soon as possible." 2. "If your mom is hospitalized, what does this mean for your family?" 3. "Don't worry; your mom will be better soon." 4. "I can see you are worried about your mother."
A client at 37 weeks' gestation has a mildly elevated blood pressure. Her antenatal testing demonstrates a fetal heart rate baseline of 150 with three contractions in 10 minutes, no decelerations, and accelerations four times in 1 hour
This test would be considered a: 1. Positive nonstress test. 2. Negative contraction stress test. 3. Positive contraction stress test. 4. Negative nonstress test.
The nurse clarifies that the individual's pattern of wakefulness and sleeping is referred to as the __________ rhythm
Fill in the blank with the appropriate word.