A client has just been visited by the anesthesiologist who will ...

[JGIBBSON]

A client has just been visited by the anesthesiologist who will provide anesthesia during the client's abdominal surgery the next day. The client says, I think I heard the doctor say something about hypnosis. I don't believe in all of that.
 
  How should the nurse respond?
  Standard Text: Select all that apply.
  1. Hypnosis is a standard method of relaxing the client before anesthesia is started.
  2. That just means the drugs are going to make you unaware of what is happening.
  3. The doctor needs to block all of your reflexes so the surgeon can do the surgery.
  4. This is not the same as the kind of hypnosis you might see on television.
  5. The doctors do not want you to remember the pain of your procedure.

Question 2

Moderate sedation is planned for a client who will undergo a procedure. Which statements by the nurse would help the client understand this level of sedation?
 
  Standard Text: Select all that apply.
  1. You will be able to respond to us when we tap you on the shoulder.
  2. You will have a breathing tube inserted in your throat through your mouth.
  3. We will keep stimulating you to breathe.
  4. This level of sedation shouldn't have any effect on your heart.
  5. You will definitely be able to respond to us when we call your name.

[iceage]

Answer to Question 1

Correct Answer: 2,4
Rationale 1: This is not the interpretation of the word hypnosis as it applies to general anesthesia.
Rationale 2: This statement is a good description of hypnosis as it applies to general anesthesia.
Rationale 3: Blocking of reflexes is the loss of reflexes portion of balanced anesthesia and is not the same as the hypnosis portion.
Rationale 4: This is a true statement.
Rationale 5: While this is a true statement, it does not reflect the concept of hypnosis as it pertains to general anesthesia.
Global Rationale: Hypnotic medications make you unaware of your surroundings and the hypnosis that is produced is not the same as seen on television.

Answer to Question 2

Correct Answer: 1,4
Rationale 1: Minimally sedated clients are able to respond to light tactile stimulation.
Rationale 2: Minimally sedated clients are able to support their own airway.
Rationale 3: Minimally sedated clients are able to support their own airway.
Rationale 4: Minimally sedated clients generally do not need any cardiovascular support.
Rationale 5: In some cases, minimally sedated clients do not respond to verbal stimuli.
Global Rationale: Minimally sedated clients are able to respond to light tactile stimulation and do not need cardiovascular support. Minimally sedated clients are able to support their own airway. In some cases, minimally sedated clients do not respond to verbal stimuli.