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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Sexual activity is known to increase endorphin levels, contributing to feelings of pleasure and relaxation.

B. Morphine does not increase endorphin levels; it mimics endorphins by binding to opioid receptors, but it does not cause the body to produce more endorphins.

C. Exercise, particularly intense physical activity, stimulates endorphin production, leading to the "runner's high."

D. Laughter is a natural way to boost endorphin levels, contributing to a sense of well-being.

A. Increasing blood pressure B. Increasing coughing C. Increasing the client's respiratory rate D. Reducing anxiety

Correct Answer is D

Explanation

A. Opioid analgesics generally lower blood pressure due to their vasodilatory effects, rather than increasing it.

B. Opioids typically decrease coughing by suppressing the cough reflex, which can be a side effect to monitor in postoperative clients.

C. Opioid analgesics often depress the respiratory rate, so they do not increase it.

D. Opioids are effective in reducing pain, which in turn helps reduce anxiety and improve comfort in postoperative patients.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

All of the following increase endorphin levels except

Correct Answer is B

Explanation

A nurse is caring for a client during the immediate postoperative period following thoracic surgery. When administering an opioid analgesic for pain, the nurse should explain that the medication should have which of the following effects?

Correct Answer is D

Explanation

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