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A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The nurse should identify which findings as an adverse effect of the medication?

Polyuria

Bilateral crackles

Hyperglycemia

Hypotension

Answer and Explanation

The Correct Answer is D

Rationale:

A. Polyuria is not a common adverse effect of opioid analgesics administered via epidural block.

B. Bilateral crackles are not typically associated with opioid analgesics administered via epidural block.

C. Hyperglycemia (high blood sugar levels) is not a common adverse effect of opioid analgesics administered via epidural block.

D. Hypotension is a common adverse effect of opioid analgesics administered via epidural block. Opioids can cause peripheral vasodilation and decreased systemic vascular resistance, leading to a drop in blood pressure.

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Correct Answer is C

Explanation

Rationale:

A. A WBC count of 11,000/mm3 is slightly elevated but may be within normal limits, as the normal range for WBC count can vary slightly depending on the laboratory. It is not typically concerning during pregnancy.

B. A hematocrit of 37% is within the normal range for pregnancy (37% to 47%) and does not require immediate reporting to the provider.

C. A fasting blood glucose level of 180 mg/dL is significantly elevated and indicates hyperglycemia, which may be indicative of gestational diabetes mellitus or pre-existing diabetes. This finding should be reported to the provider for further evaluation and management.

D. A creatinine level of 0.9 mg/dL is within the normal range (0.5 to 1 mg/dL) and does not require immediate reporting to the provider.

A. Vacuum-assisted delivery B. History of human papillomavirus C. History of uterine atony D. Labor induction with oxytocin E. Newborn weight 2.948 kg (6 lb 8 oz)

Correct Answer is ["A","C","D"]

Explanation

Rationale:

A. Vacuum-assisted delivery increases the risk of postpartum hemorrhage due to potential trauma to the birth canal and uterus.

B. A history of human papillomavirus is not directly associated with an increased risk of postpartum hemorrhage.

C. A history of uterine atony (inability of the uterus to contract effectively after delivery) is a significant risk factor for postpartum hemorrhage.

D. Labor induction with oxytocin can lead to uterine hyperstimulation or tetanic contractions, which may contribute to uterine atony and postpartum hemorrhage.

E. Newborn weight is not a risk factor for postpartum hemorrhage.

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A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The nurse should identify which findings as an adverse effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation. Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago.Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

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