A postpartum client who received spinal anesthesia for the delivery has not voided for 5 hours and is concerned about nerve damage. How should the nurse respond about this concern?
1. "Spinal anesthesia can sometimes cause nerve damage."
2. "You are probably dehydrated. Please increase your water intake."
3. "It may be several hours before you're able to control your urination."
4. "You should be able to control your bladder by now. I'll ask the anesthesia provider to visit with you."
3
Explanation:
1. Although nerve damage is a rare occurrence in relation to spinal anesthesia, there are 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.
2. There are 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.
3. Restoration of bladder control may take 8 to 12 hours following a spinal anesthetic.
4. Restoration of bladder control may take 8 to 12 hours following a spinal anesthetic.
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