A nurse working in the post-anesthesia care unit (PACU) is caring for a post-operative client that just had pelvic surgery. The nurse anticipates assessing for what post-operative complaint related to spinal anesthesia?

Weakness in upper extremities

Headache

Increased respiratory rate

Blurred vision

Answer and Explanation

The Correct Answer is B

A. Weakness in upper extremities: Spinal anesthesia generally affects the lower body, so weakness in the upper extremities is not typically related to this type of anesthesia.
B. Headache: This is the correct choice. A headache is a common post-operative complaint related to spinal anesthesia, often caused by a spinal fluid leak, leading to a post-dural puncture headache.
C. Increased respiratory rate: Spinal anesthesia typically does not affect respiratory rate significantly; it mainly impacts sensation and motor function below the level of anesthesia.
D. Blurred vision: This is not a common issue directly related to spinal anesthesia. Visual disturbances are not typical post-operative complaints associated with spinal anesthesia.

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Correct Answer is B

Explanation

A. Infiltration: Infiltration occurs when IV fluid or medication leaks into the surrounding tissue, typically causing swelling and coolness, but not usually a cord-like vein or a reddened streak.
B. Phlebitis: This is the correct choice. Phlebitis is inflammation of the vein, evidenced by tenderness, burning, swelling, and a reddened streak along the vein. The cord-like vein indicates inflammation.
C. Extravasation: Extravasation involves the leakage of vesicant drugs into surrounding tissue, which can cause severe tissue damage, but usually involves more than just a cord-like vein and reddened streak.
D. Infection: Infection typically presents with more systemic signs like fever and could involve purulent discharge, which is not described in this scenario.

A. 10% dextrose in water B. 10% dextrose in 0.45% sodium chloride C. 0.9% sodium chloride D. 2.5% sodium chloride

Correct Answer is C

Explanation

A. 10% dextrose in water: This solution is used primarily for providing calories and is not suitable for volume replacement.
B. 10% dextrose in 0.45% sodium chloride: This solution combines dextrose and a hypotonic sodium chloride solution, which is not ideal for immediate volume replacement in severe bleeding cases.
C. 0.9% sodium chloride: This is the correct choice. Normal saline (0.9% sodium chloride) is an isotonic solution used for volume replacement, especially in cases of significant blood loss.
D. 2.5% sodium chloride: This is a hypotonic solution and would not be appropriate for volume replacement in severe bleeding as it does not adequately address the need for fluid resuscitation.

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A nurse working in the post-anesthesia care unit (PACU) is caring for a post-operative client that just had pelvic surgery. The nurse anticipates assessing for what post-operative complaint related to spinal anesthesia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After having an intravenous (IV) line in place for 72 hours, a client complains of tenderness, burning, and swelling. Assessment of the IV site reveals a cord-like vein and a reddened streak. The nurse identifies that these findings indicate what complication?

Correct Answer is B

Explanation

A 28-year-old client is admitted to the hospital with severe bleeding from a fractured femur. Which intravenous fluid should the nurse anticipate will be ordered for volume replacement?

Correct Answer is C

Explanation

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