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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Correct Answer is ["2.5"]

Explanation

To calculate the amount of solution needed for each dose, we need to use the formula:

Amount of solution (mL) = Dose (mg) / Concentration (mg/mL)

Plugging in the given values, we get:

Amount of solution (mL) = 50 mg / 20 mg/mL

Simplifying, we get:

Amount of solution (mL) = 2.5 mL

Therefore, the nurse must administer 2.5 mL of the solution for each dose.

Correct Answer is ["36"]

Explanation

To calculate the infusion time for an IV of 1,500 mL running at 25 gtt/min. if the drop factor is 15 gtt/mL, we need to use the following formula:

Infusion time (in minutes) = Volume (in mL) x Drop factor (in gtt/mL) / Flow rate (in gtt/min)

Plugging in the given values, we get:

Infusion time = 1,500 x 15 / 25

Infusion time = 900 / 25

Infusion time = 36

Therefore, the infusion time for this IV is 36 minutes.

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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

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?

Correct Answer is ["2.5"]

Explanation

Calculate the infusion time for an IV of 1,500 mL running at 25 gtt/min. if the drop factor is 15 gtt/mL.

Correct Answer is ["36"]

Explanation

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