A client is scheduled to have a procedure under anxiolysis sedation. Which assessment findings would the nurse evaluate as indicating this level of sedation has been reached?
Standard Text: Select all that apply.
1. Client needs airway support.
2. Respiratory effort is adequate.
3. Client can only be aroused with painful stimulation.
4. Cardiovascular function requires support.
5. Client remains responsive.
Correct Answer: 2,5
Rationale 1: In anxiolysis sedation level, the client can maintain an open airway.
Rationale 2: Respiratory effort is not diminished in anxiolysis sedation.
Rationale 3: In the anxiolysis level of sedation, the client is easily aroused.
Rationale 4: In the anxiolysis level of sedation, cardiovascular status is adequate.
Rationale 5: Clients in the anxiolysis level of sedation remain responsive.
Global Rationale: Respiratory effort is not diminished in anxiolysis sedation. Clients in the anxiolysis level of sedation remain responsive. In anxiolysis sedation level, the client can maintain an open airway and is easily aroused. In the anxiolysis level of sedation, cardiovascular status is adequate.
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