A patient returns to the unit after having surgery with spinal anesthesia. What does the nurse know is/are the best action(s) to take to decrease the possibility of spinal headache? Select All That Apply

Administer morphine 1-2 mg IV

Ambulate the client as soon as she gets feelings back

Increase fluid intake

Encourage the patient to stay flat in bed

Position the client in high fowlers position

Answer and Explanation

Correct Answer : C,D

A. Administer morphine 1-2 mg IV

Administering morphine is not a preventive measure for spinal headaches. It may be considered for pain relief if the patient experiences discomfort after the effects of spinal anesthesia wear off.

B. Ambulate the client as soon as she gets feelings back

Ambulating the patient too soon after spinal anesthesia is generally not recommended. Staying in bed initially helps prevent complications like spinal headaches.

C. Increase fluid intake

Adequate hydration is important after spinal anesthesia to help maintain cerebrospinal fluid volume. Increasing fluid intake can reduce the risk of developing a spinal headache.

D. Encourage the patient to stay flat in bed

Remaining in a flat or slightly elevated position helps minimize cerebrospinal fluid leakage from the puncture site, reducing the likelihood of developing a spinal headache. This position is typically recommended for a specific duration after spinal anesthesia.

E. Position the client in high Fowler's position

Placing the patient in high Fowler's position (sitting upright) may increase the risk of cerebrospinal fluid leakage, potentially leading to a spinal headache. This position is not recommended for preventing spinal headaches after spinal anesthesia.

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Free Nursing Study Resources

Correct Answer is ["B","C","D","E"]

Explanation

A. "This medication may make my movements smoother."

This statement is correct. Carbidopa-levodopa is used to improve motor symptoms in parkinsonism, making movements smoother.

B. "My skin may turn yellow if I miss too many doses."

This statement is not accurate. Yellowing of the skin (jaundice) is not a known side effect of carbidopa-levodopa. This statement indicates a need for further clarification.

C. "I need to take vitamin B6 supplements with this medication."

This statement is incorrect. While vitamin B6 (pyridoxine) can reduce the effectiveness of levodopa, carbidopa is included in the formulation to prevent its peripheral conversion, allowing more levodopa to reach the brain. Vitamin B6 supplements are generally not recommended with carbidopa-levodopa.

D. "I should take this medicine on an empty stomach."

This statement is not accurate. Carbidopa-levodopa is typically taken with food to reduce gastrointestinal side effects. Taking it on an empty stomach may increase the risk of nausea.

E. "I need to check my blood sugar regularly while taking this."

This statement is not directly related to carbidopa-levodopa. Monitoring blood sugar is essential for individuals with diabetes but is not a specific requirement related to this medication.

A. "I will avoid foods high in fat." B. "I will eat small frequent meals and have a snack at bedtime." C. "Orange juice may aggravate my symptoms." D. "I will wait 2 hours after eating lunch before lying down for a nap."

Correct Answer is ["A","B","C","D"]

Explanation

A. "I will avoid foods high in fat." - This is a correct statement. High-fat foods can contribute to the symptoms of GERD.

B. "I will eat small frequent meals and have a snack at bedtime." - This is a correct statement. Eating smaller, more frequent meals and avoiding large meals before bedtime can help manage GERD symptoms.

C. "Orange juice may aggravate my symptoms." - This is a correct statement. Citrus juices, including orange juice, are acidic and can worsen GERD symptoms.

D. "I will wait 2 hours after eating lunch before lying down for a nap." - This is a correct statement. Waiting a few hours after eating before lying down can help prevent stomach contents from refluxing into the esophagus.

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A patient returns to the unit after having surgery with spinal anesthesia. What does the nurse know is/are the best action(s) to take to decrease the possibility of spinal headache? Select All That Apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a client with parkinsonism about carbidopa-levodopa. Which statement(s) by the client indicate(s) the need for further teaching? Select All That Apply

Correct Answer is ["B","C","D","E"]

Explanation

The nurse is instructing a patient recently diagnosed with GERD. Which statement by the patient indicates a need for further teaching?

Correct Answer is ["A","B","C","D"]

Explanation

A patient with peptic ulcer disease is noted to have a positive breath test for H. pylori. What will the nurse anticipate the health care provider will order?

The nurse is teaching a patient who has Parkinson's disease about the side effects of carbidopa-levodopa. Which statement by the patient indicates a need for further teaching?

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Patients taking phenytoin (Dilantin) for control of seizures must be aware of which adverse effect(s)? (Select all that apply.)

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How will the parents of a 8 year old child diagnosed with ADHD most typically describe their child's behavior?

Constipation is a problem for many older adults. What intervention can a nurse educate the client about in order to prevent constipation? (Select all that apply)

A health care provider prescribes 50 mg of a drug. The drug is only available in a 20 mL vial that contains 20 mg/mL of the drug. How much solution must the nurse administer for each dose?