A nurse is teaching a client who is scheduled for a procedure with moderate (conscious) sedation. Which of the following information should the nurse include in the teaching?
"You will be able to hear verbal commands during this procedure."
"You will be fully awake during this procedure."
"You will have a breathing tube inserted for this procedure."
"You will receive a medication to paralyze your muscles."
The Correct Answer is A
A. Moderate (conscious) sedation allows the client to respond to verbal commands and maintain their own airway, while providing pain relief and decreased anxiety.
B. The client will not be fully awake; they will be in a relaxed, drowsy state but still responsive, which differentiates moderate sedation from general anesthesia.
C. A breathing tube is not typically required for moderate sedation because the client maintains spontaneous breathing and airway reflexes.
D. Muscle-paralyzing medications are used in general anesthesia, not in moderate sedation, as clients must remain able to move and respond.
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Related Questions
Correct Answer is ["C","D"]
Explanation
A. Being born with a high birth weight is not associated with hearing loss. In contrast, low birth weight is a known risk factor.
B. Frequent exposure to low-volume noise is unlikely to cause hearing damage. It is high-volume or prolonged loud noise exposure that increases the risk of hearing loss.
C. Loop diuretics (e.g., furosemide) are ototoxic, especially when given in high doses or rapidly by IV, and can lead to hearing loss.
D. Chronic middle ear infections (otitis media) can damage the structures of the ear and lead to conductive hearing loss, making this a valid risk factor.
Correct Answer is B
Explanation
A. Serous drainage is not expected with a pneumothorax, which usually involves air in the pleural space, not fluid. If fluid is present, it would typically be minimal and possibly bloody if trauma is involved.
B. Tidaling (the rise and fall of water in the water seal chamber with the client's respirations) is an expected finding and indicates that the chest tube system is patent and responding to changes in intrathoracic pressure.
C. Tracheal deviation toward the unaffected side is a sign of a tension pneumothorax, which is a medical emergency, not an expected finding after chest tube placement.
D. Diminished breath sounds in the lung base may occur with a pleural effusion but are not the typical expected outcome following a chest tube for pneumothorax. Breath sounds should gradually improve as the lung re-expands.
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