Practice Question
The nurse is caring for a client who has had spinal anesthesia. The client is under a healthcare provider’s order to lie flat postoperatively. When the client asks to go to the bathroom, the nurse encourages the client to adhere to the health care provider’s order. Prevention of which outcome should the nurse include in the rationale for complying with this order?
Answer Choices:
Correct Answer:
Headache
Rationale:
🔶After spinal anesthesia, CSF can leak through the dural puncture site, predisposing to a post-dural puncture headache (PDPH).
🔶Lying flat decreases hydrostatic pressure at the puncture site, helping the dural hole seal and reducing CSF loss.
🔶Preventing CSF leakage reduces traction on intracranial pain-sensitive structures, which lowers headache incidence/severity.
🔶Early adherence to the supine order complements hydration and caffeine as noninvasive strategies to limit PDPH.
🔶This positioning precaution supports a safer, more comfortable recovery from neuraxial anesthesia.
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This question is from Adult Nursing II-Exam 1 which contains 56 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Medical-Surgical
- Answer Choices: 4