A pregnant woman has a lesion on her leg and will need surgery. ...

[CQXA]

A pregnant woman has a lesion on her leg and will need surgery. She expresses concern about anesthesia. What is the best response by the nurse?
 
  1. You will most likely have local anesthesia; this will not affect the baby.
  2. You may choose to have an epidural or a spinal block, which will not affect your baby.
  3. There are newer general anesthetics that do not pose a risk to your baby.
  4. Inhalation anesthetics will be used, as they are safest for your baby.

Question 2

A client with a history of migraine headache has decided to augment drug therapy with lifestyle changes to prevent migraine attacks. Which information should the nurse include in teaching for this client?
 
  Standard Text: Select all that apply.
  1. You should consider wearing sunglasses when in bright light.
  2. In some people, pickles will trigger migraines.
  3. Some people find it is helpful to drink hot coffee, tea, or chocolate when they first experience a migraine aura.
  4. Try drinking a glass of wine before bed each evening.
  5. Try to modify the way you deal with the stress in your life.

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Answer to Question 1

Correct Answer: 1
Rationale 1: Local anesthetics are most commonly used to remove lesions. Local anesthetics stay in the treatment area and will not impact a fetus.
Rationale 2: Epidural or spinal anesthesia is not indicated with this type of procedure.
Rationale 3: There are no general anesthetics that are considered completely safe with pregnancy, and general anesthesia is not indicated in this situation.
Rationale 4: Inhalation anesthesia is not indicated in this situation.
Global Rationale: Local anesthetics are most commonly used to remove lesions. Local anesthetics stay in the treatment area and will not impact a fetus. Epidural or spinal anesthesia and inhalation anesthesia are not indicated with this type of procedure. There are no general anesthetics that are considered completely safe with pregnancy, and general anesthesia is not indicated in this situation.

Answer to Question 2

Correct Answer: 1,2,5
Rationale 1: Bright or flickering lights can be triggers for migraines.
Rationale 2: Pickled foods are migraine triggers in some people.
Rationale 3: Caffeine and chocolate can be migraine triggers.
Rationale 4: Alcohol can be a migraine trigger.
Rationale 5: Stress and heightened emotion can serve as migraine triggers.
Global Rationale: Bright or flickering lights can be triggers for migraines. Pickled foods are migraine triggers in some people. Alcohol can be a migraine trigger. Caffeine and chocolate can be migraine triggers. Stress and heightened emotion can serve as migraine triggers.

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