A client is scheduled to have a procedure under anxiolysis ...

[bobthebuilder]

A client is scheduled to have a procedure under anxiolysis sedation. Which assessment findings would the nurse evaluate as indicating this level of sedation has been reached?
 
  Standard Text: Select all that apply.
  1. Client needs airway support.
  2. Respiratory effort is adequate.
  3. Client can only be aroused with painful stimulation.
  4. Cardiovascular function requires support.
  5. Client remains responsive.

Question 2

A novice nurse says, We want to keep our clients in stage 4 anesthesia during their surgery. How should the supervising nurse interpret this statement?
 
  Standard Text: Select all that apply.
  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 client is maintained in anxiolysis anesthesia.

[wergv]

Answer to Question 1

Correct Answer: 2,5
Rationale 1: In anxiolysis sedation level, the client can maintain an open airway.
Rationale 2: Respiratory effort is not diminished in anxiolysis sedation.
Rationale 3: In the anxiolysis level of sedation, the client is easily aroused.
Rationale 4: In the anxiolysis level of sedation, cardiovascular status is adequate.
Rationale 5: Clients in the anxiolysis level of sedation remain responsive.
Global Rationale: Respiratory effort is not diminished in anxiolysis sedation. Clients in the anxiolysis level of sedation remain responsive. In anxiolysis sedation level, the client can maintain an open airway and is easily aroused. In the anxiolysis level of sedation, cardiovascular status is adequate.

Answer to Question 2

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

[bobthebuilder]

TYSM

[bulacsom]

Excellent