A nurse is assessing a client in labor who has had epidural esthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?
Hypotension
Respiratory depression
Tachycardia
Vomiting
The Correct Answer is A
A. Hypotension: This is the correct answer. Hypotension, or low blood pressure, is a common side effect of epidural anesthesia. The epidural can block sympathetic nerves, which can cause blood vessels to dilate and lead to a drop in blood pressure.
B. Respiratory depression: While respiratory depression can occur with certain types of anesthesia, it is not a common side effect of epidural anesthesia.
C. Tachycardia: Tachycardia, or rapid heart rate, is not a typical side effect of epidural anesthesia.
D. Vomiting: Nausea and vomiting can occur with any type of anesthesia, but they are not specific to epidural anesthesia and are not the most common complication. Hypotension is a more common and significant complication that should be monitored for in a client who has had an epidural block.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The client requires a rubella vaccination at this time: This is not correct. Rubella vaccination is contraindicated during pregnancy because it is a live virus vaccine.
B. The client requires a rubella immunization following delivery: This is the correct answer. A negative rubella titer indicates that the client is not immune to rubella, meaning she has not been vaccinated or has not had the disease. Therefore, she should be vaccinated after delivery to prevent future infection.
C. The client is immune to the rubella virus: This is not correct. A negative rubella titer indicates that the client is not immune to rubella.
D. The client is not experiencing a rubella infection at this time: This is not necessarily correct. A negative rubella titer indicates lack of immunity, not whether or not the client is currently infected. If rubella infection is suspected, specific tests for the virus would need to be done.
Correct Answer is A
Explanation
A. Place the client in knee chest position: This is the correct answer. If the nurse observes a prolapsed umbilical cord (the cord coming out before the baby), the first action should be to position the mother to relieve pressure on the cord. The knee-chest position can help achieve this.
B. Cover the cord with a sterile moist saline dressing: This action is important but not the first thing the nurse should do. The priority is to relieve pressure on the cord to prevent cord compression and subsequent fetal hypoxia.
C. Insert a gloved hand into the vagina to relieve pressure on the cord: This action may be necessary in some cases, but it is not the first action. The initial response should be to change the mother’s position to relieve pressure on the cord.
D. Prepare the client for an immediate birth: While an immediate birth may be necessary in the case of a prolapsed umbilical cord, the first action should be to relieve pressure on the cord to prevent fetal hypoxia. Preparations for an immediate birth would follow after initial interventions.
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