A nurse is caring for a client immediately following a procedure that required spinal anesthesia. Which of the following findings indicates the client is experiencing a complication of the anesthesia?

Headache

Hiccoughs

Absence of urge to void

Numbness in the legs

Answer and Explanation

The Correct Answer is A

A. A headache is a common complication of spinal anesthesia, resulting from cerebrospinal fluid leakage at the puncture site.

B. Hiccoughs are not typically associated with spinal anesthesia complications.

C. An absence of urge to void may occur post-spinal anesthesia but is generally expected rather than a sign of complication.

D. Numbness in the legs is an anticipated effect post-spinal anesthesia, not necessarily indicating a complication.

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Correct Answer is B

Explanation

A. While the client's close contacts may be screened and tested for TB, they do not typically need preventive treatment unless they test positive.

B. Treatment for TB usually involves a 6 to 9-month regimen of multiple medications to effectively eradicate the bacteria and prevent drug resistance.

C. A negative Mantoux test would not indicate that TB is cured; it is used for screening, not for monitoring treatment effectiveness.

D. TB medications are not taken lifelong; they are taken for a specified period to cure the infection.

A. (Select All that Apply.) B. Implement turning schedule every 4 hours C. Minimize skin exposure to moisture D. Keep the client's skin dry with powder E. Use pillows to keep heels off the bed surface F. Massage over erythematous bony prominences

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

Explanation

A. A turning schedule every 4 hours is insufficient; repositioning should ideally be done every 2 hours to prevent pressure injuries.

B. Reducing skin exposure to moisture helps maintain skin integrity, especially in areas prone to breakdown due to moisture accumulation.

C. Powder is not recommended as it can lead to skin irritation and potential breakdown.

D. Elevating heels with pillows relieves pressure on areas that are susceptible to pressure injuries in immobilized clients.

E. Massaging erythematous bony prominences can damage capillaries and increase the risk of pressure injury formation.

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A nurse is caring for a client immediately following a procedure that required spinal anesthesia. Which of the following findings indicates the client is experiencing a complication of the anesthesia?

Nursing Test Bank

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