The nurse is educating a student on moderate/conscious sedation. Which of the following is a correct statement about moderate sedation?

Local aesthetics will be given to numb a specific area.

The patient will be given inhaled and IV medications to make them unconscious and an endotracheal tube will be inserted.

"Medications will be injected into the area of a major nerve to produce anesthesia in a region of the body

Medications will be given to reduce anxiety and pain with the patient still awake and able to protect their own airway

Answer and Explanation

The Correct Answer is D

Moderate sedation (also called conscious sedation) involves the administration of medications (e.g., midazolam, fentanyl, or propofol) to reduce anxiety, pain, and awareness during procedures, while allowing the patient to:

Remain awake but relaxed
Respond to verbal commands
Maintain their own airway without the need for intubation

It is commonly used for minor surgical procedures, endoscopies, and dental procedures.

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Correct Answer is C

Explanation

A. "Early ambulation can help keep your lungs expanded and prevent pneumonia":
This statement is correct. Early ambulation is beneficial for respiratory function as it helps to keep the lungs expanded, encouraging deeper breaths and better oxygenation. This can help prevent complications like pneumonia and atelectasis, which are common after surgery due to immobility and anesthesia.

B. "Early ambulation is one part of preventing blood clots from forming in your legs":
This statement is also correct. Early ambulation is an important measure in preventing deep vein thrombosis (DVT) and pulmonary embolism (PE), which are common postoperative complications. Movement and walking promote circulation, reducing the risk of blood clots forming in the legs.

C. "Early ambulation usually delays wound healing and increases the risk of wound infection":
This statement is incorrect. Early ambulation does not delay wound healing or increase the risk of infection. In fact, early movement can help improve circulation, which is crucial for wound healing and tissue repair. Gentle movement and ambulation typically have positive effects on wound healing by promoting blood flow to the surgical site. However, patients should avoid excessive strain or stress on the wound to prevent dehiscence or other complications.

D. "Early ambulation can help your bladder and bowels recover from the anesthesia":
This statement is correct. Early ambulation helps stimulate gastrointestinal and urinary systems, which may be sluggish after anesthesia. Walking can encourage the return of normal bowel and bladder function by promoting peristalsis and helping to prevent constipation or urinary retention, both of which can be common after surgery.

A. An area of non-blanchable redness on inner skin B. An open wound with visible adipose tissue C. An area of shallow broken skin with blistering D. Deep purple discoloration over intact skin

Correct Answer is C

Explanation

A. An area of non-blanchable redness on inner skin:
A stage II pressure injury is characterized by partial-thickness skin loss involving the epidermis and/or dermis. It may present as a shallow, open wound or blister. However, non-blanchable redness, which suggests a stage I pressure injury, is not consistent with stage II, as stage II involves more significant skin damage, including blistering or broken skin.

B. An open wound with visible adipose tissue:
This description is more characteristic of a stage III pressure injury, which involves full-thickness skin loss extending into the subcutaneous tissue, revealing adipose tissue. Stage II pressure injuries, on the other hand, are partial-thickness and do not expose underlying structures such as adipose tissue.

C. An area of shallow broken skin with blistering:
Stage II pressure injuries are defined by partial-thickness skin loss, which can present as a shallow open wound or blister. This description accurately fits the characteristics of a stage II pressure injury, where the skin is damaged but the full-thickness layers are not yet compromised.

D. Deep purple discoloration over intact skin:
This is indicative of a stage I pressure injury, which involves intact skin with non-blanchable redness or discoloration. Stage II injuries involve skin breakdown and would not present with intact skin or deep purple discoloration. This description is more aligned with the early stages of pressure injury development, not stage II.

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The nurse is educating a student on moderate/conscious sedation. Which of the following is a correct statement about moderate sedation?

Nursing Test Bank

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Explanation

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