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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
All of the listed laboratory tests are important for prenatal care. However, at the 24-week appointment, the nurse should plan to conduct the 1-hour glucose tolerance test to screen for gestational diabetes.
Correct Answer is A
Explanation
Hypovolemic shock is caused by a significant loss of blood or fluids, resulting in decreased tissue perfusion and oxygenation. Cool, clammy skin is a classic symptom of hypovolemic shock, indicating that the body is redirecting blood flow to vital organs. A respiratory rate of18/min is within normal limits. Bounding pulses are associated with conditions such as hyperthyroidism or aortic regurgitation. A urinary output of 30 mL/hr is low, but it is not necessarily indicative of hypovolemic shock on its own.
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