Following spinal anesthesia for delivery of her baby, a woman reports an inability to void urine. As the nurse palpates the woman's bladder the woman says, "It's been five hours since I had my spinal and I still can't empty my bladder
Do I have nerve damage?" How should the nurse respond?
1. "Spinal anesthesia can sometimes cause nerve damage."
2. "It may be several hours before you're able to control your urination."
3. "You should be able to control your bladder by now. I'll ask the anesthesia provider to visit with you."
4. "You are probably dehydrated. Please increase your water intake."
Correct Answer: 2
Rationale 1: Although nerve damage is a rare occurrence in relation to spinal anesthesia, there is no objective data to suggest that this woman has experienced nerve damage. Restoration of bladder control may take 8 to 12 hours following a spinal anesthetic.
Rationale 2: Restoration of bladder control may take 8 to 12 hours following a spinal anesthetic.
Rationale 3: Restoration of bladder control may take 8 to 12 hours following a spinal anesthetic.
Rationale 4: There is no data to suggest the woman is dehydrated. Rather, she is likely demonstrating a common side effect of spinal anesthesia. Restoration of bladder control may take 8 to 12 hours following a spinal anesthetic.
You might also like to view...
The nurse is assisting with a patient's physical examination. For which of the following tests would the nurse anticipate the need to plan for patient safety?
a. Weber's test b. Whisper test c. Rinne's test d. Romberg's test
A patient presents with symptoms of abruptio placentae. To facilitate uterine-placental perfusion, the nurse positions the patient in:
a. prone position. b. Trendelenburg position. c. supine position. d. side-lying position.
Subcutaneous insulin absorption occurs MOST quickly when injected into which area?
a. abdomen c. hips b. arms d. thighs
The nurse is caring for a client who works as a boxer. The client states, "I was picked on a lot when I was little, so I got really angry and now I work through the anger by boxing."
The nurse recognizes the client is demonstrating which ego defense mechanism? a. Denial b. Intellectualization c. Sublimation d. Repression