Which statement regarding conscious sedation is true?
A. Only an anesthesiologist or certified registered nurse anesthetist may administer agents for conscious sedation.
B. The basis for pain relief and amnesia during conscious sedation is hypnosis.
C. The client remains alert and awake during the process.
D. Defensive reflexes remain intact during the procedure.
D
A physician or a specially credentialed registered nurse may administer agents for conscious se-dation. This rapid and short-acting type of anesthesia, used for brief but uncomfortable proce-dures, does not render the client completely unconscious. Clients have a reduction in the intensity of the pain or a reduction in the awareness of the pain without loss of defensive reflexes.
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The nurse is assisting with care of a resident diagnosed with amyotrophic lateral sclerosis (ALS). Which assessment findings does the nurse anticipate? (Select all that apply.)
a. Progressive weakness b. Pill-rolling tremor c. Ascending paralysis d. Hemiparesis e. Decreased coordination of extremities f. Bradykinesia
The postoperative cardiac surgery client has an accumulation of fluid in the pleural space 2 weeks after surgery. Which term will the nurse use to explain this condition to the client and family?
1. Pneumothorax 2. Hemothorax 3. Pleural effusion 4. Pulmonary edema
In pacing, sensitivity refers to _____
a. the ability of a pacemaker to recognize and respond to intrinsic electrical activity b. a pacing lead with a single electrical pole at the distal tip of the pacing lead through which the stimulating pulse is delivered c. the successful conduction of an artificial pacemaker's impulse through the myocardium, resulting in depolarization d. the length of time between an atrial sensed or atrial paced event and the delivery of a ventricular pacing stimulus
The nurse prepares discharge plans for home care of the 11-year-old client with a synthetic cast on the arm. Which nursing diagnosis should the nurse use to promote bone healing?
1. Impaired mobility related to cast 2. At risk for client injury from falls 3. Activity intolerance from fracture 4. Knowledge deficit related to cast care