During the procedure,a moment of light anesthesia caused Matilda to move slightly.The perioperative nurse prepared to assist while the anesthesia provider titrated drugs to a deeper anesthetic level.What would be the next priority intervention by the perioperative nurse?
A) Document an "awareness under anesthesia" occurrence.
B) Tuck Matilda's arms anatomically at her sides.
C) Reassess padding,protection,and positioning security.
D) Refine the nursing diagnosis to include risk for falls.

Question

Quizplus · Accepted Answer

Reassess padding and protection after this movement by Matilda to ensure that she will remain free from injury related to surgical positioning.The patient should be secured to the OR bed without friction or pressure from the restraining straps.Assess and document the condition of dependent skin areas.Use pressure-reducing positioning devices.Pad and protect bony prominences and dependent pressure sites and maintain proper body alignment.

During the Procedure,a Moment of Light Anesthesia Caused Matilda to Move