A patient who received spinal anesthesia four hours ago during surgery is transferred to the surgical unit and, after one and a half hours, now reports severe incisional pain. The patients blood pressure is 170/90 mm Hg, pulse is 108 beats/min, temperature is 99 o F (37.2 o C), and respirations are 30 breaths/min. The patients skin is pale, and the surgical dressing is dry and intact. The most appropriate nursing intervention is to:

VENTRICULAR SEPTAL DEFECT

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Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]

A patient who received spinal anesthesia four hours ago during surgery is transferred to the surgical unit and, after one and a half hours, now reports severe incisional pain. The patient’s blood pressure is 170/90 mm Hg, pulse is 108 beats/min, temperature is 99 o F (37.2 o C), and respirations are 30 breaths/min. The patient’s skin is pale, and the surgical dressing is dry and intact. The most appropriate nursing intervention is to:

A	Medicate the patient for pain.
B	place the patient in a high Fowler position and administer oxygen.
C	Place the patient in a reverse Trendelenburg position and open the IV line.
D	Report the findings to the provider.

Explanation:

Detailed explanation-1: -To prevent a common, adverse effect of prolonged use of phenytoin sodium (Dilantin), patients taking the drug are instructed to: avoid crowds and obtain an annual influenza vaccination. drink at least 2 L of fluids daily, including 8 to 10 glasses of water. eat a potassium-rich, low sodium diet.

Detailed explanation-2: -Keep the patient supine for 20 to 30 minutes after the procedure. back pain secondary to needle placement, local tissue irritation, reflex muscle spasm, or positioning during surgery. Treat discomfort with analgesics, application of heat to the site, patient positioning, and bed rest.

Detailed explanation-3: -Spinal anesthesia reduced the need for opioids postoperatively. The most common symptoms were pain, nausea and vomiting, itching, drowsiness and fatigue.

Detailed explanation-4: -Circulating nurses can only contact unsterile areas. What is the priority action by the scrub nurse when the surgeon begins to close the surgical wound? Answer: Count the sponges.

There is 1 question to complete.

MRCP UK EXAMINATIONS

CARDIOLOGY

VENTRICULAR SEPTAL DEFECT