The nurse is caring for a patient who has had spinal anesthesia. The nurse correctly questions which order?
a. Patient to lie flat for 6 to 8 hours.
b. Resume diet as tolerated.
c. Use incentive spirometer every hour while awake.
d. Notify physician immediately if headache occurs.
D
One of the goals during the postoperative period is to prevent or treat spinal headache. The headache can be treated with nursing interventions such as keeping the patient flat if a headache is reported and increasing fluid intake. If the headache becomes severe or does not improve, the physician could be notified. Lying flat for 6 to 8 hours reduces the risk of spinal headache and allows time for feeling to return to the legs; full diets can usually be resumed; and an incentive spirometer will reduce the chance of respiratory complications resulting from spinal anesthetic effects.
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