A client is having surgery tomorrow and the nurse is discussing the plan of care for surgery. Which statement by the client indicates understanding of the preoperative 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."


3

Rationale 1:The goal of general anesthesia is to provide a rapid and complete loss of sensation.
Rationale 2:General anesthesia is the loss of sensation to the entire body.
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: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.

Nursing

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Behavioral theorists see personality disorders as the result of:

a. Social stressors b. Conditioned responses c. Neurophysical problems d. An imbalance among the three forces of the personality

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A professor is teaching a group of students about the role of mitochondria within the cell. Which of the following statements is true of mitochondria?

A) They are the site of adenosine triphosphate (ATP) production. B) The number of mitochondria in a cell is equal to the number of nuclei. C) They are replicated within the smooth endoplasmic reticulum (ER). D) Mitochondrial DNA is inherited patrilineally.

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The nurse suspects that a patient is experiencing cardiogenic shock. Which parameter indicates that the nurse's suspicion is correct?

1. Cardiac output of 8.9 L/min 2. Pulmonary artery wedge pressure (PAWP) of 8 mm Hg 3. Central venous pressure (CVP) of 5 mm Hg 4. Cardiac index (CI) of 1.8 L/min/m2

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The student nurse has completed an initial pharmacology course and tells the nursing instructor that it was difficult and she is glad it is over. What is the best response by the nursing instructor?

1. "It may be over, but now you must apply what you have learned to patient care." 2. "Learning is gradual and continuous; we never completely master all areas of pharmacology." 3. "Learning is always painful, but we must continue anyway." 4. "It really isn't over; you should take a graduate course next."

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