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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 D

Explanation

Rationale:

A. Raw carrots are not a significant source of vitamin B12, which is typically lacking in a vegan diet.

B. Brown rice is a healthy grain but does not contain vitamin B12, which is necessary for those following a vegan diet.

C. Fresh citrus fruits provide vitamin C but not vitamin B12, which is important for individuals following a vegan diet.

D. Fortified soy milk is often enriched with vitamin B12, making it a suitable recommendation for individuals practicing a vegan diet who need to increase their intake of this nutrient.

A. A client who is at 36 weeks of gestation and reports back pain following intercourse B. A client who is at 8 weeks of gestation and reports severe vomiting C. A client who is at 10 weeks of gestation and reports frequent urination D. A client who is at 24 weeks of gestation and reports periodic tingling of the fingers

Correct Answer is B

Explanation

Rationale:

A. Back pain following intercourse at 36 weeks of gestation may be common and is not typically indicative of an urgent issue.

B. Severe vomiting in early pregnancy could indicate hyperemesis gravidarum, which may require immediate assessment and intervention to prevent dehydration and electrolyte imbalances.

C. Frequent urination at 10 weeks of gestation is common due to hormonal changes and increased pressure on the bladder from the growing uterus, but it does not typically require immediate assessment unless accompanied by other concerning symptoms.

D. Periodic tingling of the fingers at 24 weeks of gestation could be due to carpal tunnel syndrome, which is common in pregnancy but does not usually require urgent assessment unless severe or accompanied by other symptoms.

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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

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Correct Answer is B

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