Based on this finding, which postoperative intervention would be included on the nursing plan of care?

Choice A rationale:
Oral route anesthetic blocks are not considered regional anesthesia. They are a form of systemic anesthesia, meaning they affect the entire body.
Oral anesthetics are absorbed through the gastrointestinal tract and distributed throughout the bloodstream to reach their target sites in the central nervous system.
They produce a general depressant effect on the brain and spinal cord, leading to sedation, unconsciousness, and analgesia. Examples of oral anesthetics include benzodiazepines, barbiturates, and propofol.
Choice B rationale:
Inhalation anesthetic blocks are also a form of systemic anesthesia.
They are administered through inhalation of vaporized gases or volatile liquids.
These anesthetics rapidly cross the alveolar-capillary membrane in the lungs and enter the bloodstream, where they are transported to the brain and other tissues.
They produce a dose-dependent depression of the central nervous system, resulting in loss of consciousness, analgesia, and muscle relaxation.
Examples of inhalation anesthetics include nitrous oxide, sevoflurane, and isoflurane.
Choice C rationale:
Spinal anesthetic blocks are a type of regional anesthesia that involves injecting a local anesthetic directly into the subarachnoid space of the spinal cord.
This blocks nerve transmission in the spinal cord, resulting in loss of sensation and motor function in the lower half of the body.
Spinal anesthesia is commonly used for surgeries below the waist, such as cesarean deliveries, hip replacements, and knee surgeries.
Choice D rationale:
Epidural anesthetic blocks are another type of regional anesthesia that involves injecting a local anesthetic into the epidural space, which is the area surrounding the spinal cord.
This blocks nerve transmission in the spinal nerves, resulting in loss of sensation and motor function in a specific region of the body.
Epidural anesthesia is commonly used for labor and delivery, as well as for surgeries on the abdomen, pelvis, and lower extremities.

Choice E rationale:

Nerve anesthetic blocks (also known as peripheral nerve blocks) involve injecting a local anesthetic around a specific nerve or group of nerves.

This blocks nerve transmission in the targeted area, resulting in loss of sensation and motor function in a specific part of the body.

Nerve blocks can be used for a variety of surgical procedures, as well as for pain management.

Choice A rationale:
Administering pre-operative medications does not address the client's expressed desire regarding resuscitation. It is a necessary step in preparing the client for surgery, but it does not directly relate to their preferences for end-of-life care.
Fulfilling this task does not ensure that the client's wishes are communicated to the appropriate healthcare providers, potentially leading to unwanted resuscitative efforts if the client's condition deteriorates during surgery.
It is crucial for the nurse to prioritize the client's autonomy and right to self-determination regarding their healthcare choices.
Choice B rationale:
Informing the physician after the surgery is complete is not timely and could result in the client's wishes not being respected.
The physician needs to be aware of the client's resuscitation preferences before the procedure begins to ensure that care aligns with their wishes.
Delaying communication could lead to ethical and legal dilemmas if resuscitation is attempted against the client's expressed desires.
Choice C rationale:
This is the most appropriate action because it directly addresses the client's concerns and ensures that their wishes are documented and communicated effectively.
Having a clear conversation with the client allows for exploration of their understanding of resuscitation and any potential concerns or questions they may have.
Recording the client's wishes in their medical record provides a clear record for all healthcare providers involved in their care, promoting consistency and respect for their autonomy.
Choice D rationale:
While verbally communicating the client's wishes to the operating room supervisor is important, it is not sufficient on its own.
Written documentation in the medical record is essential to ensure that the information is accurately conveyed to all members of the healthcare team and accessible throughout the client's care journey.