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
Chorionic villus sampling (CVS) is a prenatal test that involves taking a sample of tissue from the placenta to test for chromosomal abnormalities and certain other genetic problems.
As with all types of surgical procedures, infections can happen during or after CVS2.
Choice A is incorrect because anemia is not a known complication of CVS.
Choice C is incorrect because late decelerations are a type of fetal heart rate patern that can occur during labor and are not related to CVS.
Choice D is incorrect because placental insufficiency is a condition where the placenta is unable to provide enough oxygen and nutrients to the fetus and is not a known complication of CVS.
Correct Answer is C
Explanation
A nurse should report absent deep-tendon reflexes to the provider when a client is receiving magnesium sulfate via continuous IV infusion.
This is because reduced tendon reflexes can be a side effect of magnesium sulfate use during pregnancy.
Choice A is not correct because a decrease in the frequency of contractions is an expected outcome of magnesium sulfate use as a tocolytic to stop preterm labor.
Choice B is not correct because a urinary output of 35 mL/hr is within the normal range.
Choice D is not correct because an elevated blood pressure is not a known side effect of magnesium sulfate use during pregnancy.
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