A nurse is educating a client about the advantages of combined spinal-epidural (CSE) anesthesia over epidural or spinal anesthesia alone.
Which of the following statements by the client indicates understanding of the teaching?
“CSE anesthesia will make me feel less numb in my legs.”
“CSE anesthesia will work faster and last longer than other types of anesthesia.”
“CSE anesthesia will reduce the risk of bleeding or infection in my spine.”
“CSE anesthesia will allow me to move around more during labor.”
The Correct Answer is B
This statement indicates that the client understands the advantages of CSE anesthesia over epidural or spinal anesthesia alone. CSE anesthesia combines the rapid onset and reliable blockade of spinal anesthesia with the ability to extend and adjust the analgesia through epidural catheterization. This makes CSE anesthesia suitable for procedures that require timely, effective, and prolonged pain relief, such as labor and delivery, abdominal surgery, and lower extremity orthopedic surgery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A potential complication of spinal anesthesia is postdural puncture headache (PDPH), which occurs when cerebrospinal fluid leaks through the puncture site and causes low pressure in the subarachnoid space.
This can result in a severe headache that worsens when sitting or standing and improves when lying down.PDPH usually occurs within 24 to 48 hours after the spinal anesthesia and can last for days or weeks.
Correct Answer is A
Explanation
Administer the medication immediately after a contraction.This is because fentanyl can cross the placenta and cause respiratory depression in the fetus, so it should be given when the placental blood flow is lowest, which is right after a contraction.
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