A nurse is caring for a client who is in labor and has received spinal anesthesia for pain relief.
The client reports a severe headache that worsens when sitting up.
Which of the following actions should the nurse take?
Administer oxygen via nasal cannula
Increase the rate of IV fluids
Assist the client to lie flat
Apply ice packs to the forehead
The Correct Answer is C
the client has a spinal headache, which is caused by leakage of cerebrospinal fluid (CSF) through the dural hole created by the needle. Lying flat can reduce the pressure gradient between the brain and the spinal cord and decrease the headache pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
The stage and phase of labor and the fetal heart rate and pattern are important factors that the nurse should consider when choosing a systemic analgesic for a client who is in active labor.Systemic analgesics can cross the placenta and affect the fetus, so the nurse should monitor the fetal heart rate and pattern for any signs of distress or changes.The stage and phase of labor can influence the timing and effectiveness of systemic analgesics, as well as the risk of adverse effects on the mother and the fetus.For example, systemic analgesics given too early in labor may prolong labor, whereas systemic analgesics given too late in labor may cause respiratory depression in the newborn.
Normal ranges for maternal vital signs are: blood pressure 110/60 to 140/90 mm Hg, pulse 60 to 100 beats per minute, respiratory rate 12 to 20 breaths per minute, and temperature 36.5 to 37.5°C (97.7 to 99.5°F).
Normal ranges for fetal heart
Correct Answer is A
Explanation
Naloxone is an opioid antagonist that can reverse the respiratory depression caused by intrathecal opioid analgesia.Flumazenil is an antidote for benzodiazepine overdose, not opioid overdose.Protamine sulfate is an antidote for heparin overdose, not opioid overdose.Vitamin K is an antidote for warfarin overdose, not opioid overdose.
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