A nurse is caring for a client who received epidural anesthesia during hip surgery. Which of the following manifestations should the nurse monitor as an adverse reaction?

Severe headache

Rapid rise in temperature

Hypertension

Tachycardia

Answer and Explanation

The Correct Answer is A

A. Severe headache can result from epidural anesthesia due to post-dural puncture headache caused by leakage of cerebrospinal fluid.

B. Rapid rise in temperature may indicate infection but is not a common reaction to epidural anesthesia.

C. Hypertension is not a common adverse effect of epidural anesthesia; in fact, hypotension is more typical due to sympathetic blockade.

D. Tachycardia is not a typical adverse reaction, and the most likely response to epidural anesthesia is bradycardia due to autonomic blockade.

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Correct Answer is ["A","B","C","F"]

Explanation

Reduction in edema from +3 pitting to +1 nonpitting indicates improved fluid volume status. Improved shortness of breath suggests better pulmonary and cardiac function. More energy and better sleep are signs of increased cardiac output and symptom relief. Weight loss of 3.2 kg (7 lb) in 1 week indicates successful diuresis and fluid reduction.

Reported episodes of nausea and decreased appetite and occasional dizziness indicate persistent poor condition.

A. Don a protective gown. B. Apply gloves. C. Handle in an area with controlled ventilation. D. Wear an N95 mask.

Correct Answer is A

Explanation

A. Methotrexate is a chemotherapy agent and can be toxic. A protective gown should be worn to protect against exposure.

B. Gloves should also be worn, but a gown is necessary for additional protection.

C. Controlled ventilation is not necessary when administering an oral tablet of methotrexate.

D. An N95 mask is not required unless handling an aerosolized form of methotrexate, which is not the case here.

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A nurse is caring for a client who received epidural anesthesia during hip surgery. Which of the following manifestations should the nurse monitor as an adverse reaction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C","F"]

Explanation

A nurse is preparing to administer methotrexate in oral tablet form to a client. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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