The nurse is caring for a patient who had spinal anesthesia. Which of the following effects from spinal anesthesia may affect the safety of the patient when getting out of bed for the first time postoperatively?

a. Hypertension
b. Hypotension
c. Hyperventilation
d. Hypoventilation


ANS: B
Hypotension results from sympathetic blockade causing vasodilation, which reduces venous return to the heart and therefore reduces cardiac output. Postural hypotension may occur if the patient rises too rapidly, creating a risk for falling.

Nursing

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The nurse working with the family of a potential organ donor informs them that the Uniform Determination of Death Act (UDDA) includes in its definition of death irreversible cessation of activity in the entire brain

a. except in the situation of an ancephalic infant. b. in a person in an irreversible vegetative state. c. including the brain stem. d. unless a vegetative state has exceeded 2 years.

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The nurse is aware that peak physical performance begins to decline

a. in the late teens c. in the late thirties b. in the late twenties d. in the late forties

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A health-promotion activity that the nurse can suggest to a healthy 20-year-old is

A) Aerobic exercise three times per week B) Monthly breast self-examination C) Weekly blood-pressure screening D) Intake of a diet high in fat

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The role of the institutional review boards for research studies is to:

A) determine the credibility of a research study. B) document the costs of the study. C) publish the research study. D) protect the rights of human participants.

Nursing