The nurse is caring for a patient who had spinal anesthesia. Which effect from spinal anesthesia may influence the safety of the patient when getting out of bed for the first time after surgery?
a. Hypotension
b. Hypertension
c. Hypoventilation
d. Hyperventilation
ANS: A
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. B. C. D. Spinal anesthesia does not cause hypertension, hypo- or hyper-ventilation.
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