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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Related Questions
Correct Answer is B
Explanation
A. Accidental lacerations: While accidental lacerations can occur during a cesarean delivery, they are not common and are not the priority assessment.
B. Respiratory distress: This is the correct answer. Immediately after birth, the newborn’s ability to establish effective respirations is critical. Any signs of respiratory distress should be addressed immediately to ensure adequate oxygenation.
C. Acrocyanosis: Acrocyanosis, or blueness of the hands and feet, is common in newborns and is not typically a cause for immediate concern.
D. Hypothermia: Maintaining the newborn’s body temperature is important, but it is not the priority over ensuring the newborn is breathing effectively.
Correct Answer is B
Explanation
A. Monitor vital signs every 5 min: While monitoring vital signs is important, it is not the priority action. The client’s blood pressure is low, which could be due to the epidural anesthesia. The priority is to manage the client’s blood pressure.
B. Place the client in a lateral position: This is the correct choice. Placing the client in a lateral position can help improve blood flow and increase blood pressure. This is often the first step in managing hypotension following epidural anesthesia.
C. Notify the provider: While it’s important to notify the provider of changes in the client’s condition, the nurse should first take action to manage the client’s blood pressure.
D. Elevate the client’s legs: While this can help increase venous return and improve blood pressure, it is not the first action the nurse should take. The priority is to change the client’s position to improve blood flow and increase blood pressure. Elevating the legs can be done after repositioning the client if blood pressure remains low.
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