Monitored anesthesia care (MAC) is going to be used for a closed, manual reduction of a dislocated shoulder. What action does the nurse anticipate?
a. Securing an airtight fit for the inhalation mask
b. Starting a 20-gauge IV in the patient's unaffected arm
c. Obtaining a nonocclusive dressing to place over the administration site
d. Teaching the patient about epidural patient-controlled anesthesia (PCA) use
ANS: B
For MAC, IV sedatives, such as the benzodiazepines, are administered. Therefore the patient needs IV access. Inhaled, epidural, and topical agents are not included in MAC. An occlusive dressing would be placed over a topical agent such as eutectic mixture of local anesthetics (EMLA) cream.
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