NURS 435 CHAPTER 43 QS

1. What is the priority when caring for a patient recovering from an anterior cervical discectomy and fusion (ACDF)? a. Controlling pain b. Maintaining an airway c. Monitoring urine output d. Ensuring adequate blood pressure control i. ANS: B ii. The priority for care in the immediate postoperative period after an ACDF is maintaining an airway. Controlling pain can be addressed after adequate airway is ensured. Monitoring urine output and ensuring adequate blood pressure control can be addressed if necessary after an adequate airway is ensured. 2. The nurse is caring for an older adult patient which chronic low back pain who has been prescribed an opioid. For which adverse effects of the drug does the nurse monitor the patient? SATA a. Drowsiness b. Constipation c. Incontinence d. Acute confusion e. Low serum sodium i. ANS: A…B…D ii. Older adult patients taking opioids are monitored for side effects that include constipation, drowsiness, and acute confusion. The drug does not cause urinary retention. Low serum sodium is a side effect of antiepileptic drugs used to treat neuropathic pain, not tricyclic antidepressants. 3. A patient who had spinal fusion surgery 8 months ago continues to experience severe back pain. What recommendations should help this patient with pain control? SATA a. Nerve block b. Shoe inserts c. Spinal cord stimulation d. Intrathecal spinal infusion e. Sitting in the Williams’ position