Practice Quiz

CRNE Exam Prep

Category - Changes in Health

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The nurse attending Inna, a female client who had a recent surgery with spinal anesthesia, notes restlessness, cool clammy skin, and hypotension. Hypovolemic shock is suspected. Which of the following is NOT a safe nursing intervention for the client?
  1. Elevate the legs above the level of the heart.
  2. Administer oxygen.
  3. Administer colloid solutions, as prescribed.
  4. Monitor level of consciousness.
Explanation
Answer: A - Elevating the legs above the level of the heart is not a safe nursing intervention for a client who had a recent surgery with spinal anesthesia. Elevating the legs above the level of the heart may impair the diaphragm muscles. The client’s legs should not be elevated any higher than placing them on a pillow. The other options are correct and safe interventions.
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