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
Explanation
A. Administering an antiemetic is not the priority, as the pain reported by the client needs to be evaluated by the surgeon first.
B. While eye shields may be used to protect the eyes after surgery, the acute pain should be reported to the surgeon to rule out complications.
C. Acute, deep eye pain after laser trabeculoplasty could indicate complications, such as increased intraocular pressure, infection, or damage to the eye. Immediate reporting to the surgeon is necessary for further evaluation and intervention.
D. Prophylactic antibiotics may be prescribed postoperatively, but they are not the first response to acute pain.
Correct Answer is A
Explanation
A. Cardiac tamponade is a life-threatening condition that requires urgent intervention, typically pericardiocentesis to relieve pressure on the heart. Immediate notification to the healthcare provider for preparation of this procedure is the priority.
B. Paradoxical blood pressure (a drop in systolic BP during inspiration) is a key sign of cardiac tamponade, but the most important action is to prepare for pericardiocentesis.
C. Jugular vein distention can be a sign of tamponade, but pericardiocentesis is the priority to address the underlying cause of the symptoms.
D. While monitoring oxygen saturation is important, it is not the most critical action in this emergency situation.
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