The nurse is caring for two postoperative patients who have had caesarean sections. One had surgery under spinal anesthesia and the other under epidural anesthesia

What are some important differences the nurse should be aware of when caring for these two patients? Note: Credit will be given only if all correct answers and no incorrect answers are selected. Select all that apply. 1. The level of pain relief is lower with spinals.
2. Placement of the needle is higher with epidurals.
3. Epidurals do not fully sedate motor nerves.
4. Spinal patients complain of nausea and vomiting.
5. Spinal anesthesia patients complain of headache if they sit up too soon.


3,5
Rationale 1: The level of pain relief is similar between the two types of anesthesia.
Rationale 2: The needle level is the same with both types of anesthesia.
Rationale 3: Motor nerves are more affected with spinals.
Rationale 4: Administration of both types of anesthesia is accompanied by nausea and vomiting.
Rationale 5: It is recommended that patients lie flat for 6–8 hours after spinal anesthesia.

Nursing

You might also like to view...

The nurse is concerned that a client has a low calcium level. Which symptom caused the nurse to suspect that this client has severe hypocalcemia?

a. Diarrhea b. Headaches c. Heart arrhythmias d. Increased blood glucose

Nursing

The nurse is caring for an older client with a fractured hip. The client asks the nurse about the nature of her condition. The nurse's response should be,

a. "You have a fractured femur," stated in a loud voice. b. "You will have to speak to your physician about your diagnosis." c. "Do you wish to call your son to discuss it with him because he talked with the MD?" d. "When you fell at home, you broke your hip."

Nursing

A patient asks, "What advantage does a durable power of attorney for health care have over a living will?" The nurse should reply, "A durable power of attorney for health care:

a. gives your agent authority to make decisions during any illness if you are incapacitated." b. can be given only to a relative, usually the next of kin, who has your best interests at heart." c. can be used only if you have a terminal illness and become incapacitated." d. cannot be implemented until 30 days after the documents are signed."

Nursing

A nurse is assessing a patient's risk of contracting a sexually transmitted infection (STI). An appropriate question to ask would be:

A) "You know that it's important to use condoms for protection, right?" B) "Do you use a condom with each episode of sexual intercourse?" C) "Do you have a sexually transmitted infection?" D) "You are aware of the dangers of unprotected sex, aren't you?"

Nursing