Which of these complications is a significant complication after spinal and epidural regional anesthetics?
residual motor block
orthostatic hypertension
local hematoma
postdural puncture headache
The Correct Answer is D
A. Residual motor block: Transient motor weakness may persist briefly, but it is not the most significant complication.
B. Orthostatic hypertension: Orthostatic hypotension (not hypertension) can occur; hypertension is not characteristic.
C. Local hematoma: Potentially significant -epidural or spinal hematoma is a serious complication that can cause neurologic compromise and requires urgent attention.
D. Postdural puncture headache: Postdural puncture headache (positional headache after CSF leak) is a well-known, common and clinically important complication of spinal/epidural procedures and often requires intervention (epidural blood patch if severe).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. Dangle legs before attempting to get out of bed or chair to prevent falls: Diuretics (including thiazides) can cause orthostatic hypotension; rising slowly and dangling legs reduces the fall risk.
B. Include fruits such as melons, bananas, and oranges in the diet: Thiazides can cause potassium loss-encouraging potassium-rich foods helps prevent hypokalemia.
C. Drinks extra fluids with this medication: Routine “drink extra fluids” is not standard advice; diuretics increase urine output and excessive fluid could worsen electrolyte imbalance-teach maintaining normal hydration and monitoring instead.
D. Take the last dose at bedtime: Diuretics are usually taken in the morning (or at least several hours before bedtime) to avoid nocturia and sleep disruption.
E. Report side effects such a muscle cramps, nausea, or a skin rash: Muscle cramps (possible hypokalemia), GI upset, or rash are important adverse effects to report.
Correct Answer is A
Explanation
A. "Take the medication with a meal.": Extended-release metformin should be taken with food to reduce GI side effects (nausea, diarrhea) and to improve tolerability.
B. "This medication can cause an increase in perspiration.": Increased perspiration is not a characteristic adverse effect of metformin.
C. "This medication can turn your urine orange.": Urine discoloration (orange) is associated with drugs like rifampin, not metformin.
D. "You may crush or chew the medication.": Do not crush or chew extended-release formulations -doing so can destroy the extended-release mechanism and increase risk of adverse effects.
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