Which of these complications is peculiar to spinal and epidural regional anesthetics?
a. local hematoma c. orthostatic hypotension
b. postdural puncture headache d. residual motor block
B
Postdural puncture headache, caused by the loss of cerebrospinal fluid around the brain, is a significant complication of either spinal or epidural anesthesia. Because of the vascular dilation they produce, widespread spinal or epidural blocks can cause lowered blood pressure; some risk of bleeding also exists with these blocks.
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A patient wants to reduce the risk of developing gallstones and cholecystitis. What should the nurse instruct this patient?
Select all that apply. 1. Walk for 30 minutes five times a week. 2. Eat a low-fiber, high-carbohydrate diet. 3. Eat unsaturated rather than saturated fats. 4. Eat a low-carbohydrate diet. 5. Lose weight by any means possible.
Which is the purpose of skin preparation before an invasive procedure?
1. To establish a sterilized site for the procedure 2. To decrease microorganism count on the skin 3. To eliminate a portal of exit from the reservoir 4. To destroy all microorganisms at the surgical site
A 62-year-old woman states that she has to get up during the night to urinate. How would the nurse further assess this patient's nocturia?
A) Ask the patient how often she thinks she should be getting up at night B) Ask the patient "Are you tired in the morning because of this?" C) Ask the patient whether siblings or parents had this problem D) Ask the patient "Have you made any changes because of this?"
Based on this description, what is the most likely diagnosis?
A 67-year-old lawyer comes to your clinic for an annual examination. He denies any history of eye trauma. He denies any visual changes. You inspect his eyes and find a triangular thickening of the bulbar conjunctiva across the outer surface of the cornea. He has a normal pupillary reaction to light and accommodation. A) Corneal arcus B) Cataracts C) Corneal scar D) Pterygium