The nurse is caring for a patient receiving a spinal block. Which symptom would most concern the nurse?
Legs feeling heavy.
Hypotension.
Numbness below the injection site.
Nausea.
The Correct Answer is B
Choice A reason: While legs feeling heavy can be a common sensation after a spinal block, it is not as concerning as other potential symptoms.
Choice B reason: Hypotension is a significant concern following a spinal block as it can indicate a high level of blockage affecting the autonomic nerves, which can lead to serious complications.
Choice C reason: Numbness below the injection site is expected after a spinal block and is not typically a cause for concern unless it is prolonged or accompanied by other symptoms.
Choice D reason: Nausea can occur but is less concerning than hypotension, which can have more immediate and severe consequences.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: A surgical pause is not a commonly used term for this process.
Choice B reason: A time out is a standardized procedure used to verify the correct patient, procedure, and site before surgery begins.
Choice C reason: The preoperative checklist is a broader list of tasks completed before surgery, not the specific pause for verification.
Choice D reason: Time in is not a recognized term for this verification process in the surgical setting.
Correct Answer is A
Explanation
Choice A reason: The 'thinking/content of thought' section of the Mental Health Status Examination assesses the logical process of thought, presence of delusions, obsessions, and preoccupations.
Choice B reason: 'Memory' assesses the person's ability to recall past events, which is not directly related to their current thought content.
Choice C reason: 'Judgment' evaluates the ability to make reasoned decisions, which, while important, is distinct from the content of thought.
Choice D reason: 'Speech and the ability to communicate' assesses the clarity, relevance, and coherence of speech, not the internal thought process.
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