A client is having shoulder surgery with regional anesthesia. What actions by the nurse are most important to enhance client safety related to this anesthesia? (Select all that apply.)
a. Assessing distal circulation to the operative arm after positioning
b. Keeping the client warm during the operative procedure
c. Padding the client's shoulder and arm on the operating table
d. Preparing to suction the client's airway if the client vomits
e. Speaking in a low, quiet voice as anesthesia is administered
ANS: A, C
After regional anesthesia is administered, the client loses all sensation distally. The nurse ensures client safety by assessing distal circulation and padding the shoulder and arm appropriately. Although awake, the client will not be able to report potential injury. Keeping the client warm is not related to this anesthesia, nor is suctioning or speaking quietly.
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