Exhibits

Review H and P, nurse's notes, laboratory values, flow sheet, and prescriptions.

Drag from the Word Choices to complete the sentence.

The client demonstrates effective epidural anesthesia by
dropdown
,
dropdown
, and
dropdown
.

Answer and Explanation

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

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

Explanation

A: The nurse’s signature as a witness indicates that the client voluntarily signed the consent form, free from coercion.

B: The nurse is not responsible for explaining the risks and benefits of the surgery; that is the surgeon's role.

C: The nurse’s signature also affirms that the client appears competent to sign the consent and is not under any impairment or duress at the time of signing.

D: The nurse does not verify that the client understands the procedure, but simply observes that the consent is signed willingly.

E: The surgeon, not the nurse, is responsible for explaining the procedure and its necessity to the client.

A. Withhold next scheduled dose of low molecular weight heparin. B. Monitor the client's current white blood cell count (WBC). C. Confirm that the continuous passive motion device is intact. D. Determine if the wound drainage device is functioning correctly.

Correct Answer is D

Explanation

A. Withholding the next dose of low molecular weight heparin is not indicated unless there is active bleeding.

B. Monitoring the white blood cell count is not the immediate priority in this situation. Wound drainage is more relevant.

C. The continuous passive motion device is used for promoting mobility, but it is not related to the issue of excessive drainage.

D. Saturated dressing with serosanguineous drainage after surgery can be normal initially, but ensuring the wound drainage device is functioning correctly is crucial to prevent complications like hematoma or excessive swelling.

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Exhibits Review H and P, nurse's notes, laboratory values, flow sheet, and prescriptions. Drag from the Word Choices to complete the sentence. The client demonstrates effective epidural anesthesia by dropdown, dropdown, and dropdown.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After the nurse witnesses a preoperative client signing the surgical consent form, the nurse signs the form as a witness. Which is (are) the legal implication(s) of the nurse's signature on the client's surgical consent form? Select all that apply.

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

Explanation

The nurse assesses a client who had bilateral total knee replacements (TKR) four hours ago. The nurse notes that the dressing on the client's right knee is saturated with serosanguineous drainage. Which action should the nurse implement?

Correct Answer is D

Explanation

A client newly diagnosed with diabetes mellitus suddenly becomes confused and weak. Which intervention(s) should the nurse implement? Select all that apply.

The home health nurse makes a home visit to a client with amyotrophic lateral sclerosis (ALS). The client is sitting upright while feeding themself and coughs frequently during the meal. Which action should the nurse implement?

During an admission assessment, a client reports currently using heroin. Which information is most important for the nurse to consider in the plan of care?

A client with deep vein thrombosis (DVT) is receiving a continuous heparin IV infusion. The client now has tarry, black diarrhea and reports abdominal pain. Which actions should the nurse implement? Select all that apply.

The client who has emphysema and recently experienced a stroke receives a prescription for a metered-dose inhaler with a spacer device. The client asks the nurse if using the spacer is necessary. Which information should the nurse provide?

Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

Exhibits Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. The nurse recognizes that the client has dropdownas evidenced by dropdownanddropdown.

Exhibits

Review H and P, nurse's notes, laboratory values, flow sheet, and prescriptions.

Drag from the Word Choices to complete the sentence.

The client demonstrates effective epidural anesthesia by
dropdown
,
dropdown
, and
dropdown
.