Nurses are performing hourly neurological assessments of a patient who is postoperative day 1 following spinal surgery that was performed to treat spinal cord compression (SCC)
The nurse's most recent assessment shows a marked reduction in motor and sensory function. How should the nurse best follow-up this assessment finding?
A) Inform the care provider promptly about this sudden change.
B) Reassess the patient in 15 minutes.
C) Contact the anesthesiologist to discuss possible residual effects of anesthesia.
D) Document these findings and have a colleague confirm the assessment.
A
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Toward the end of the first stage of labor, a pudendal block is administered transvaginally. The nurse anticipates the client's care to include:
1. Monitoring for hypotension every 15 minutes. 2. Monitoring FHR every 15 minutes. 3. Monitoring for bladder distention. 4. No additional assessments.
A patient with protruding lumbar disks is scheduled for a laminectomy. What should the nurse instruct the patient about this surgery?
Select all that apply. 1. The surgery will relieve pressure on the nerves. 2. A hollow titanium cylinder will be placed over the spine. 3. The spaces where the spinal nerves exit the canal will be enlarged. 4. The bony arch on the surface of the vertebra will be removed. 5. Wedge-shaped pieces of bone will be inserted between the vertebrae.
A patient is being monitored in the left femoral artery 2 hours after an angiogram. What assessment by the nurse is of greatest priority?
a. The patient is a little sleepy and can't re-member the procedure. b. The left pedal and posterior tibial pulses are palpable. c. The patient hasn't voided yet. d. Both of the patient's feet are cool and pink.
Medical treatment of coronary artery disease includes which of the following procedures?
A) Cardiac catherization B) Coronary artery bypass surgery C) Oral medication therapy D) Percutaneous transluminal coronary angioplasty