Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
10. A client will receive a spinal anesthetic for cesarean birth. As the client discusses the surgery, she asks an RN about the possibility of postanesthesia headaches. Which is the most appropriate response by the RN?
. "If there is an allergy to the agent used, headaches may occur."
. "Headaches should not be a problem with this type of anesthesia."
. "This problem may be prevented by keeping the head of the bed flat."
. "Medication is available to counteract headaches and is given as needed."
Test-Taking Tip
Eliminate the answer that provides false information to the client. Choose the one answer that is a specific action that the nurse can take.
Content Area: Maternity, Intrapartum; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Alterations in Body Systems
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
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Answer 1 is incorrect because, although medication allergies can cause problems, in this case, the headache is due to a spinal needle that creates a passage for the spinal fluid to leak out, changing the fluid pressure around the brain and spinal cord. If enough of the fluid leaks out, a spinal headache may develop. Answer 2 is incorrect because spinal headaches are one of the common side effects of spinal anesthesia. This answer is inappropriate to tell the client. Answer 3 is correct because keeping the head of the bed flat can alleviate the headache caused by the difference in pressure. Sitting up can make the headache worse by increasing the pressure difference. Answer 4 is incorrect because medication does not provide relief when the origin of the headache is a difference in pressure. A blood patch can be used to stop the leakage of spinal fluid, seal the leak, and alleviate the pressure difference.