Author Question: A client had a surgical procedure with spinal anesthesia. The nurse raises the head of the client's ... (Read 66 times)

PhilipSeeMore

  • Hero Member
  • *****
  • Posts: 561
A client had a surgical procedure with spinal anesthesia. The nurse raises the head of the client's bed. The client's blood pressure changes from 122/78 mm Hg to 102/50 mm Hg. What action by the nurse is best?
 
  a. Call the Rapid Response Team.
  b. Increase the IV fluid rate.
  c. Lower the head of the bed.
  d. Nothing; this is expected.

Question 2

Ten hours after surgery, a postoperative client reports that the antiembolism stockings and sequential compression devices itch and are too hot. The client asks the nurse to remove them. What response by the nurse is best?
 
  a. Let me call the surgeon to see if you really need them.
  b. No, you have to use those for 24 hours after surgery.
  c. OK, we can remove them since you are stable now.
  d. To prevent blood clots you need them a few more hours.



momtoalll

  • Sr. Member
  • ****
  • Posts: 326
Answer to Question 1

ANS: C
A client who had epidural or spinal anesthesia may become hypotensive when the head of the bed is raised. If this occurs, the nurse should lower the head of the bed to its original position. The Rapid Response Team is not needed, nor is an increase in IV rate.

Answer to Question 2

ANS: D
According to the Surgical Care Improvement Project (SCIP), any prophylactic measures to prevent thromboembolic events during surgery are continued for 24 hours afterward. The nurse should explain this to the client. Calling the surgeon is not warranted. Simply telling the client he or she has to wear the hose and compression devices does not educate the client. The nurse should not remove the devices.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

Alzheimer's disease affects only about 10% of people older than 65 years of age. Most forms of decreased mental function and dementia are caused by disuse (letting the mind get lazy).

Did you know?

Intradermal injections are somewhat difficult to correctly administer because the skin layers are so thin that it is easy to accidentally punch through to the deeper subcutaneous layer.

Did you know?

People with high total cholesterol have about two times the risk for heart disease as people with ideal levels.

Did you know?

Though methadone is often used to treat dependency on other opioids, the drug itself can be abused. Crushing or snorting methadone can achieve the opiate "rush" desired by addicts. Improper use such as these can lead to a dangerous dependency on methadone. This drug now accounts for nearly one-third of opioid-related deaths.

Did you know?

Immunoglobulin injections may give short-term protection against, or reduce severity of certain diseases. They help people who have an inherited problem making their own antibodies, or those who are having certain types of cancer treatments.

For a complete list of videos, visit our video library