During the preoperative assessment and teaching for a patient scheduled for otolaryngologic surgery performed using local anesthetic,the perioperative nurse reviews with the patient normal coping mechanisms that are personally effective and supports and encourages the patient during the surgical intervention.The nurse is preparing the patient to anticipate and self-control physiologic indicators of:

Question

Quizplus · Accepted Answer

The patient will communicate adequate pain control and display absence of physiologic indicators of pain (e.g.,tachypnea,tachycardia,pallor,hypertension).As appropriate,consider nonpharmacologic measures,such as guided imagery,music,and relaxation exercises.Describe the anticipated sequence of perioperative events.Explain that some initial discomfort (e.g.,pinprick followed by slight burning and then numbness)may be felt during the administration of local anesthetic.Inform the patient before the injection of local anesthetic;provide support and reassurance;evaluate patient response.Describe the purpose and expected response to the medication administered (see Sample Plan of Care).

During the Preoperative Assessment and Teaching for a Patient Scheduled