A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia. Which of the following actions should the nurse take?
Massage the client's fundus
Turn the client to a side-lying position
Apply oxygen at 2 L/min via nasal cannula
Assist the client to empty their bladder.
The Correct Answer is B
Rationale:
A. Massaging the client's fundus is not indicated for hypotension following epidural anesthesia.
Fundal massage is typically performed to prevent or manage uterine atony and postpartum hemorrhage.
B. Turning the client to a side-lying position is a recommended intervention for hypotension following epidural anesthesia. This position helps improve venous return to the heart and can help alleviate hypotension by reducing aortocaval compression.
C. Applying oxygen via nasal cannula may be indicated if the client is experiencing respiratory distress, but it is not the primary intervention for hypotension.
D. Assisting the client to empty their bladder may be appropriate to relieve urinary retention but is not the priority intervention for hypotension.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A. Instructing the client about an autopsy is not the immediate priority and may not be appropriate at this sensitive time.
B. Informing the client about the law regarding naming the fetus is not a priority and may add unnecessary stress to the situation.
C. Providing photos of the fetus is the most appropriate action since it minimzes the trauma to the mother while providing closures.
D. Limiting the amount of time the fetus is in the client's room is not appropriate as when the mother needs more time with the fetus, she hsould be allowed to provide for closure
Correct Answer is C
Explanation
Rationale:
A. Provide the newborn with 15 ml glucose water after each feeding: This action is not directly related to phototherapy for jaundice treatment.
B. Turn the newborn every 4 hours: While turning the newborn is important for preventing pressure ulcers, it is not specifically related to phototherapy.
C. Close the newborn's eyes before applying eyepatches:
Correct answer. It is important to protect the newborn's eyes from phototherapy light by using eye patches or covering their eyes with soft material to prevent damage to the retina.
D. Apply hydrating lotion to the newborn's skin prior to treatment: Hydrating lotion is not typically applied before phototherapy, as it may interfere with the effectiveness of the treatment or cause skin irritation.
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