A nurse is caring for a client who is in labor and just received epidural anesthesia. The client's blood pressure is 90/50 mm Hg. Which of the following actions should the nurse take?

Turn the client onto their side.

Initiate an amnio-infusion for the client.

Administer naloxone to the client.

Monitor the client's blood pressure every 15 min.

Answer and Explanation

The Correct Answer is A

Epidural anesthesia can cause hypotension in the mother, which can decrease blood flow to the fetus. Turning the client onto their side can help to improve blood flow to the fetus by reducing the pressure of the uterus on the vena cava and increasing venous return to the heart.

Option B is incorrect because an amnio-infusion is not indicated for hypotension related to epidural anesthesia.

Option C is also incorrect because naloxone is a medication used to reverse the effects of opioid medications and would not be appropriate for treating hypotension related to epidural anesthesia.

Option D is partially correct but does not address the immediate need to improve blood flow to the fetus. The nurse should monitor the client's blood pressure regularly but should also take immediate action to turn the client onto their side to improve blood flow.

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Correct Answer is C, D, A, B

Explanation

C. Ask the client to lie on her back and with her knees flexed.

D. Position one hand around the top of the client's fundus and one hand just above the client's symphysis pubis.

A. Rotate the upper hand to massage the client's uterus while using slight downward pressure to compress the fundus.

B. Observe the client's perineum for the passage of clots and the amount of bleeding.

A. "This medication stabilizes the fetal heart rate." B. "This medication prevents seizures." C. "This medication increases cardiac output." D. This medication improves tissue perfusion."

Correct Answer is B

Explanation

Magnesium sulfate is used to prevent seizures in clients with preeclampsia. It works by relaxing the smooth muscles and blocking neuromuscular transmission. While magnesium sulfate can indirectly improve fetal heart rate and tissue perfusion by preventing seizures, it does not directly stabilize the fetal heart rate or increase cardiac output.

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A nurse is caring for a client who is in labor and just received epidural anesthesia. The client's blood pressure is 90/50 mm Hg. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to perform a fundal massage for a postpartum client who is experiencing uterine atony. In which order should the nurse plan to perform the following actions? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is C, D, A, B

Explanation

A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate?

Correct Answer is B

Explanation

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