A client has received spinal anesthesia. The nurse obtains a blood pressure reading of 72/56 mL/Hg. The nurse will
Continue to monitor blood pressure
Assess for headache
Administer oxygen by nasal cannula
Elevate the client's feet
The Correct Answer is A
Choice A rationale: A blood pressure reading of 72/56 mmHg may be expected after spinal anesthesia. The nurse should continue to monitor the blood pressure to ensure it stabilizes within an acceptable range for the individual patient.
Choice B rationale: Headache is a common side effect of spinal anesthesia, and the nurse should assess for this but should not be the first action with the given blood pressure reading.
Choice C rationale: Administering oxygen by nasal cannula may not be necessary based solely on the blood pressure reading after spinal anesthesia.
Choice D rationale: Elevating the client's feet is not the first intervention for a blood pressure reading of 72/56 mmHg after spinal anesthesia. It may be considered if the blood pressure remains low and symptoms of hypotension are present.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Managing dry-mouth symptoms is not the greatest teaching priority for a patient prescribed varenicline.
Choice B rationale: Increasing fiber in the diet to reduce constipation is not the greatest teaching priority for a patient prescribed varenicline.
Choice C rationale: The greatest teaching priority for a patient prescribed varenicline is to report thoughts of self-harm. Varenicline is a medication used for smoking cessation, and there have been reports of neuropsychiatric symptoms, including suicidal ideation.
Choice D rationale: Teaching about the decreased pleasurable effect of nicotine is important but not the greatest priority compared to ensuring the patient's safety.
Correct Answer is A
Explanation
Choice A rationale: A blood pressure reading of 72/56 mmHg may be expected after spinal anesthesia. The nurse should continue to monitor the blood pressure to ensure it stabilizes within an acceptable range for the individual patient.
Choice B rationale: Headache is a common side effect of spinal anesthesia, and the nurse should assess for this but should not be the first action with the given blood pressure reading.
Choice C rationale: Administering oxygen by nasal cannula may not be necessary based solely on the blood pressure reading after spinal anesthesia.
Choice D rationale: Elevating the client's feet is not the first intervention for a blood pressure reading of 72/56 mmHg after spinal anesthesia. It may be considered if the blood pressure remains low and symptoms of hypotension are present.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today