A nurse is administering nitrous oxide to a client who is in labor.
Which of the following actions should the nurse take?
Instruct the client to hold the mask over her mouth and nose during contractions.
Monitor the client’s oxygen saturation level continuously.
Ensure that there is adequate ventilation in the room.
All of the above.
The Correct Answer is D
The nurse should take all of the following actions when administering nitrous oxide to a client who is in labor:
Instruct the client to hold the mask over her mouth and nose during contractions. This allows the client to self-administer the gas and control the amount and timing of inhalation.
Monitor the client’s oxygen saturation level continuously. Nitrous oxide can cause hypoxia and respiratory depression if used in high concentrations or for prolonged periods.
Ensure that there is adequate ventilation in the room. Nitrous oxide is a greenhouse gas and can have negative environmental and occupational effects if not properly scavenged.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
The stage and phase of labor and the fetal heart rate and pattern are important factors that the nurse should consider when choosing a systemic analgesic for a client who is in active labor.Systemic analgesics can cross the placenta and affect the fetus, so the nurse should monitor the fetal heart rate and pattern for any signs of distress or changes.The stage and phase of labor can influence the timing and effectiveness of systemic analgesics, as well as the risk of adverse effects on the mother and the fetus.For example, systemic analgesics given too early in labor may prolong labor, whereas systemic analgesics given too late in labor may cause respiratory depression in the newborn.
Normal ranges for maternal vital signs are: blood pressure 110/60 to 140/90 mm Hg, pulse 60 to 100 beats per minute, respiratory rate 12 to 20 breaths per minute, and temperature 36.5 to 37.5°C (97.7 to 99.5°F).
Normal ranges for fetal heart
Correct Answer is ["A","E"]
Explanation
Dizziness and headache are potential adverse effects of nitrous oxide for pain relief during labor.Nitrous oxide can also cause nausea, vomiting, drowsiness, reduced awareness, and mask phobia.
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