A nurse in assessing a client who is in labor and has received epidural analgesia. Which of the following findings should the nurse recognize and document as an adverse effect of epidural analgesia?
Fetal heartrate 152/min
Hypotension
polyuria
Maternal temperature of 37.4 C (99.4 F)
The Correct Answer is B
A. Fetal heart rate 152/min: Fetal heart rate is not typically considered an adverse effect of epidural analgesia. The focus of epidural analgesia is on providing pain relief for the mother rather than directly affecting the fetal heart rate.
B. Hypotension: Hypotension (low blood pressure) is a common adverse effect of epidural analgesia. Epidural anesthesia can cause vasodilation, leading to a decrease in blood pressure. The nurse should monitor the client's blood pressure closely and administer interventions as needed, such as IV fluids or medications to address hypotension.
C. Polyuria: Polyuria (excessive urination) is not a direct adverse effect of epidural analgesia. Epidural analgesia primarily affects pain sensation rather than urinary function.
D. Maternal temperature of 37.4 C (99.4 F): A slightly elevated maternal temperature is not a common adverse effect of epidural analgesia. However, the nurse should monitor for signs of infection or other complications and report any significant temperature changes to the healthcare provider.
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Related Questions
Correct Answer is D
Explanation
a.Apply hydrating lotion to the newborn's skin prior to treatment: It is not necessary to apply hydrating lotion before phototherapy. However, keeping the newborn's skin well-moisturized is generally a good practice to prevent dryness associated with phototherapy.
b.Turn the newborn every 4 hours: Regular turning is important for general care, but it is not a specific action related to phototherapy for jaundice.
c.Provide the newborn with 15 ml glucose water after each feeding: This is not a standard practice related to phototherapy. Feeding frequency and amounts are determined by the infant's age, weight, and feeding readiness, but providing glucose water after each feeding is not a routine recommendation
d. Close the newborn's eyes before applying eyepatches: This is the correct answer. Eyepatches are used during phototherapy to protect the newborn's eyes from exposure to the bright lights. Closing the newborn's eyes before applying eyepatches helps shield the eyes from the light source and prevents potential damage to the eyes.
Correct Answer is A
Explanation
A.It is normal for a yellow exudate to form at the surgical site within 24 hours after a Plastibell circumcision.This is part of the healing process and should not be mistaken for an infection.
B.The Plastibell device is not removed manually.It typically falls off on its own within 7 to 10 days.
C.The diaper should be loose to avoid pressure on the circumcised area, which can cause discomfort and delay healing.
D.It is normal for the area around the Plastibell to darken as the tissue dies and the ring prepares to fall off.However, parents should notify the provider if there are signs of infection, excessive bleeding, or if the Plastibell does not fall off within the expected time frame.
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