When a client expresses anxiety about being given anesthesia, which team member should sit with the person and provide comfort during the induction?
Circulating nurse
Surgical assistant
Registered nurse first assistant
Certified registered nurse anesthetist
The Correct Answer and Explanation is:
Correct Answer: Certified Registered Nurse Anesthetist (CRNA)
Explanation:
When a client expresses anxiety about receiving anesthesia, the Certified Registered Nurse Anesthetist (CRNA) is the most appropriate healthcare professional to stay with the patient during the induction of anesthesia and provide comfort and reassurance.
The CRNA is a highly trained advanced practice nurse who specializes in anesthesia. Their role includes:
- Preoperative assessment of the client
- Administering anesthesia
- Monitoring the client throughout the procedure
- Managing pain and anesthesia-related care before, during, and after surgery
Because CRNAs are the direct care providers during anesthesia, they are present during induction—the initial phase when the patient is put to sleep. This process can be anxiety-provoking for many clients. The CRNA is skilled in managing both the physiological and emotional responses of the client during this critical phase. Offering comfort, explaining the process, and using calming techniques are part of their responsibilities.
In contrast:
- The Circulating Nurse focuses on maintaining a safe and sterile environment in the operating room. They assist with documentation, gather supplies, and coordinate communication but are not primarily responsible for the induction of anesthesia.
- The Surgical Assistant helps the surgeon during the operation with tasks such as retracting tissues and suturing but does not manage anesthesia.
- The Registered Nurse First Assistant (RNFA) assists the surgeon with direct patient care during surgery but is not involved with anesthesia administration or preoperative emotional support related to anesthesia.
In summary, the CRNA is the professional who not only administers anesthesia but also monitors the client and provides reassurance during the induction phase, making them the best team member to sit with and comfort the client experiencing anxiety about anesthesia.