Exhibits
Review H and P, nurse's notes, laboratory values, flow sheet, and prescriptions.
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The client demonstrates effective epidural anesthesia by
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B","dropdown-group-3":"C"}
Pain relief: One of the primary goals and indications of effective epidural anesthesia is significant reduction or elimination of pain associated with labor contractions, as reflected in the patient asking for and receiving the epidural to manage increasing pain levels.
Progression of labor: Effective epidural anesthesia should allow the labor to progress without adding undue stress or causing significant delays. Monitoring cervical dilation and effacement as well as the baby's descent (station) helps determine if labor is progressing normally even after epidural administration.
Vital signs: Stable vital signs are important indicators that the epidural anesthesia is not causing adverse effects such as severe hypotension or bradycardia, which can sometimes occur with regional anesthesia due to the blockade of sympathetic nerves. Regular monitoring and stability of these signs are crucial for demonstrating effective and safe epidural anesthesia management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. Reports of pain: While pain is a common complaint during labor, especially before the epidural takes effect or if the anesthesia is wearing off, this is not an immediate priority compared to other life-threatening complications like hypotension or fetal decelerations. It can be addressed once the more urgent issues are managed.
B. Nausea: Nausea may occur with epidural anesthesia, often due to hypotension, but it is not as urgent as respiratory distress, hypotension, or fetal decelerations. It can be managed after addressing the more critical symptoms.
C. Difficulty breathing: Difficulty breathing can be an indication of a high epidural block, which can affect the respiratory muscles. This is a serious sign that requires immediate intervention to assess and potentially correct the epidural anesthesia level.
D. Hypotension: Epidural anesthesia can cause hypotension due to sympathetic blockade. Low blood pressure can reduce uteroplacental perfusion and compromise fetal oxygenation, requiring prompt intervention with fluid boluses and/or vasopressors to support maternal and fetal circulation.
E. Fetal decelerations: Fetal heart rate decelerations, particularly late or variable decelerations, may indicate fetal distress, potentially caused by maternal hypotension, uteroplacental insufficiency, or cord compression. These should be promptly assessed and addressed to optimize fetal well-being.
F. Dizziness: Dizziness is often a result of epidural anesthesia-induced hypotension and is an early sign that should be assessed. However, it is not as immediately critical as difficulty breathing or fetal heart rate decelerations and should be addressed once the more urgent concerns are managed.
Correct Answer is ["B","C"]
Explanation
A. Tinnitus can occur with MS but is not an emergency.
B. Tachycardia may indicate autonomic dysfunction or infection, which could require urgent intervention.
C. Fever is concerning because infections can exacerbate MS symptoms and trigger relapses.
D. Paresthesia is a common MS symptom and does not require immediate reporting unless it significantly worsens.
E. Tremors are an expected MS symptom and are not urgent.
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