A nurse is caring for a client immediately following a procedure that required spinal anesthesia. Which of the following findings indicates the client is experiencing a complication of the anesthesia?
Headache
Hiccoughs
Absence of urge to void
Numbness in the legs
The Correct Answer is A
A. A headache is a common complication of spinal anesthesia, resulting from cerebrospinal fluid leakage at the puncture site.
B. Hiccoughs are not typically associated with spinal anesthesia complications.
C. An absence of urge to void may occur post-spinal anesthesia but is generally expected rather than a sign of complication.
D. Numbness in the legs is an anticipated effect post-spinal anesthesia, not necessarily indicating a complication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Sitting up for prolonged periods can lead to hip contractures and should be limited.
B. Elevating the stump on a pillow is discouraged after the first 24-48 hours post-op, as it can lead to contracture formation.
C. Elevating the foot of the bed is not recommended as it may increase the risk of contractures and does not promote stump shaping.
D. Lying prone several times per day helps prevent hip flexion contractures, a common complication after an above-the-knee amputation.
Correct Answer is ["1733"]
Explanation
To calculate the infusion rate for the first 8 hours, you would take the total volume prescribed for the first 24 hours and divide it by 3, since 8 hours is one-third of 24 hours. So, 5,200 mL divided by 3 equals approximately 1,733.33 mL. Rounding this to the nearest whole number, the nurse should set the pump to infuse at a rate of 1,733 mL per hour for the first 8 hours.
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