The nurse is caring for a patient receiving a spinal block. Which symptom would most concern the nurse?

Legs feeling heavy.

Hypotension.

Numbness below the injection site.

Nausea.

Answer and Explanation

The Correct Answer is B

Choice A reason: While legs feeling heavy can be a common sensation after a spinal block, it is not as concerning as other potential symptoms.

Choice B reason: Hypotension is a significant concern following a spinal block as it can indicate a high level of blockage affecting the autonomic nerves, which can lead to serious complications.

Choice C reason: Numbness below the injection site is expected after a spinal block and is not typically a cause for concern unless it is prolonged or accompanied by other symptoms.

Choice D reason: Nausea can occur but is less concerning than hypotension, which can have more immediate and severe consequences.

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Correct Answer is B

Explanation

Choice A reason: Providing a pillow to brace the incision is a recommended practice to support the incision during coughing or movement.

Choice B reason: Instructing the patient to perform deep coughing every 30 minutes is a standard postoperative care practice to prevent atelectasis.

Choice C reason: Having the patient sit up and lean forward can help with breathing and comfort after surgery.

Choice D reason: Giving pain medication prior to coughing is actually a recommended practice to reduce pain and facilitate effective coughing.

A. Surgical site infection B. Hypercapnia C. Malignant hyperthermia D. Hypertensive crisis

Correct Answer is C

Explanation

Choice A reason: Surgical site infection is an infection that occurs after surgery in the part of the body where the surgery took place.

Choice B reason: Hypercapnia is the presence of higher-than-normal levels of carbon dioxide in the blood.

Choice C reason: Malignant hyperthermia is a life-threatening pharmacogenetic reaction to certain general anesthesia, characterized by hypermetabolism resulting in high body temperature, rigid muscles, and rapid heart rate.

Choice D reason: Hypertensive crisis is a severe elevation in blood pressure, often requiring immediate medical attention.

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The nurse is caring for a patient receiving a spinal block. Which symptom would most concern the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assisting in the care of a patient after open-heart surgery. Which action by the other nurse would warrant intervention?

Correct Answer is B

Explanation

During general surgery, a nurse observes tachycardia, muscle rigidity, respiratory acidosis, and hyperthermia in a patient. Which complication of surgery does the nurse suspect?

Correct Answer is C

Explanation

The nurse is assisting in the care of a preoperative patient. The patient states, "I'm really afraid that I won't make it through the surgery." Which action by the nurse is appropriate?

Ms. T complains of headaches and body pains whenever her husband mentions that the house needs to be cleaned. This has been a recurring problem for more than 6 months. Ms. T probably is suffering from what kind of disorder?

Which question will the nurse ask a client when assessing their abstract thinking and judgment?

The mental health status examination includes (select all that apply):

A primary mechanism used by people with personality disorders is:

What is evisceration?

Michael's parents have always told him that he is not a good student. Michael starts a small business selling things on the internet and devotes all his time and energy to building it, becoming a successful entrepreneur. Michael's situation is an example of:

Nurses understand that patients who deliberately pretend to be ill are: