A nurse is caring for a client who is returning to the medical-surgical unit following a procedure that required spinal anesthesia. Which of the following findings should indicate to the nurse the client is experiencing a complication related to the anesthesia?
No urge to void
Numbness in legs
Headache
Hiccups
The Correct Answer is C
A. A lack of urge to void can be a temporary side effect of spinal anesthesia but is not necessarily a sign of a complication.
B. Numbness in the legs is an expected and temporary effect of spinal anesthesia and should resolve as the anesthesia wears off.
C. A headache, particularly a post-dural puncture headache, can be a complication of spinal anesthesia caused by a leak of cerebrospinal fluid at the puncture site.
D. Hiccups are generally unrelated to spinal anesthesia and are not a common complication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Preoperative teaching is aimed at reducing anxiety by informing the patient about what to expect during and after surgery. This helps to reduce fear and stress, which can contribute to better postoperative outcomes.
B. Reduced postoperative respiratory function is not an expected outcome of preoperative teaching. Instead, teaching might include breathing exercises to improve respiratory function postoperatively.
C. Preoperative teaching is designed to help manage and potentially reduce postoperative pain by setting expectations and providing pain management strategies.
D. Preoperative teaching is likely to shorten the length of postoperative care rather than increase it by preparing the patient for a smoother recovery.
Correct Answer is B
Explanation
A. Excess medication that has been withdrawn from a vial should not be returned to the secure cabinet to avoid contamination and ensure safety.
B. It is standard practice to have a second nurse witness and document the disposal of excess medication, especially controlled substances like morphine, to ensure accurate accounting and compliance with regulations.
C. Saving excess medication for the next administration is not safe practice and could lead to medication errors or contamination.
D. Placing the excess medication in the sharps container is incorrect because liquid medications should not be disposed of in this manner; they should be properly wasted according to facility protocols.
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