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?
Initiate an amnioinfusion for the client.
Turn the client onto their side.
Monitor the client's blood pressure every 15 min.
Administer naloxone to the client.
The Correct Answer is B
It’s normal for blood pressure to fall a little when a client receives an epidural.
If necessary, fluids and medicine can be given through a drip to keep blood pressure normal.
Choice A) is not correct because initiating an amnioinfusion is not mentioned as an immediate intervention for low blood pressure after epidural anesthesia .
Choice C) is not correct because monitoring the client’s blood pressure every 15 min is not mentioned as an immediate intervention for low blood pressure after epidural anesthesia .
Choice D) is not correct because administering naloxone to the client is not mentioned as an immediate intervention for low blood pressure after epidural anesthesia .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse should report a fundal height of 38 cm to the provider.
Fundal height is measured from the top of the pubic bone to the top of the uterus and is used to assess fetal growth.
A fundal height measurement that is larger than expected for gestational age may indicate macrosomia, which is a common complication of gestational diabetes mellitus.
Choice A is incorrect because non-pitting pedal edema is common during late pregnancy and is usually caused by physiologic edema resulting from hormone- induced sodium retention.
Choice C is incorrect because 12 fetal movements in an hour are within normal
range.
Choice D is incorrect because a fasting blood glucose level of 90 mg/dL is within normal range for a pregnant woman with gestational diabetes mellitus.
Correct Answer is C
Explanation
A nurse caring for a newborn who has exstrophy of the bladder should cover the newborn’s bladder with a sterile, non-adherent dressing prior to the beginning of surgical correction.
Choice A is incorrect because it is not necessary to restrict the newborn’s fluid intake.
Choice B is incorrect because it is not necessary to keep the newborn in a side- lying position.
Choice D is incorrect because it is not appropriate to exert gentle pressure on
the newborn’s bladder with sterile gauze.
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