A novice nurse says, We want to keep our patients in Stage 4 ...

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A novice nurse says, We want to keep our patients in Stage 4 anesthesia during their surgery. How should the supervising nurse interpret this statement?
 
  1. The novice nurse has made an error in this statement.
  2. Stage 4 anesthesia is avoided.
  3. This is a good description of the goal of anesthesia.
  4. The novice nurse should have said Stage 3 anesthesia.
  5. A more accurate statement would be that the patient is maintained in anxiolysis anesthesia.

Question 2

A patient has just been visited by the anesthesiologist who will provide anesthesia during the patient's abdominal surgery the next day. The patient says, I think I heard the doctor say something about hypnosis. I don't believe in all of that.
 
  How should the nurse respond?
  1. Hypnosis is a standard method of relaxing the patient 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.

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Answer to Question 1

Correct Answer: 1,2,4
Rationale 1: Stage 4 is not the goal for anesthesia.
Rationale 2: In Stage 4, the medulla is paralyzed and breathing and circulation could stop. This stage is avoided.
Rationale 3: This is not the goal of anesthesia.
Rationale 4: The goal of anesthesia is rapid induction through Stages 1 and 2 with the patient remaining in Stage 3 until the end of the procedure.
Rationale 5: Anxiolysis is a term used to describe minimal sedation, not general anesthesia.

Answer to Question 2

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.

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TYSM

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Excellent