A physician has ordered a nurse to administer conscious sedation ...

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A physician has ordered a nurse to administer conscious sedation to a client. Which of the following is possible after administering conscious sedation to a client?
 
  A) Client can respond verbally despite physical immobility.
  B) Client can tolerate long therapeutic surgical procedures.
  C) Client is relaxed, emotionally comfortable, and conscious.
  D) Client's consciousness level can be monitored by equipment.

Question 2

A nurse is caring for a client who is scheduled to undergo a breast biopsy. Which of the following major tasks does the nurse perform immediately during the pre-operative period?
 
  A) Obtain a signature on the consent form.
  B) Review the surgical checklist.
  C) Conduct a nursing assessment.
  D) Reduce the dosage of toxic drugs.

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Answer to Question 1

Ans: C
Conscious sedation refers to a state in which the client is sedated in a state of relaxation and emotional comfort, but is not unconscious. The client is free of pain, fear, and anxiety and can tolerate unpleasant diagnostic and short therapeutic surgical procedures, such as an endoscopy or bone marrow aspiration. The client can respond verbally and physically. However, no equipment can replace a nurse's careful observations for monitoring clients.

Answer to Question 2

Ans: C
During the immediate pre-operative period, the nurse conducts a nursing assessment. Nurses obtain the signature of the client, nearest blood relative, or someone with durable power of attorney before the administration of any pre-operative sedatives. They also administer medications as ordered by the physician regardless of their toxicity. They assist the client with psychosocial preparation and complete the surgical checklist, which is reviewed by the operating room personnel.

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