The nurse is caring for a postpartum client who is receiving pain medication through an epidural catheter. Which assessment finding should the nurse report immediately to the physician?

Blood pressure: 120/80.

Pain rating of 4 on a scale of 1 to 10.

Pulse rate: 80.

Respiratory rate: 8.

Answer and Explanation

The Correct Answer is D

The nurse should immediately report a respiratory rate of 8 to the physician. A normal respiratory rate for an adult is between 12 and 20 breaths per minute. A respiratory rate of 8 is considered abnormally low and can indicate respiratory depression, which can be a side eﬀect of pain medication delivered through an epidural catheter. It is important for the nurse to report this finding immediately so that appropriate interventions can be taken to ensure the safety of the client.

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Correct Answer is B

Explanation

When educating a preoperative client on how to eﬀectively deep breathe, the nurse should instruct the client to make each breath deep enough to move the bottom ribs. This helps to ensure that the client is taking deep breaths and fully expanding their lungs. The other options (Breathe in through the mouth and out through the nose, Practice deep breathing at least once each week, and Breathe through the mouth when you inhale and exhale) are not accurate instructions for eﬀective deep breathing.

A. Jell-O, carbonated beverages, apple juice B. High-calorie, high-protein supplements C. Milk, frozen dessert, egg substitutes D. Hot cereals, ice cream, chocolate milk

Correct Answer is A

Explanation

A clear liquid diet consists of foods and ﬂuids that are clear and liquid at room temperature. This includes items such as Jell-O, carbonated beverages, and apple juice. These foods and ﬂuids are easily digested and leave no residue in the intestinal tract, making them appropriate for certain medical conditions or procedures.

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The nurse is caring for a postpartum client who is receiving pain medication through an epidural catheter. Which assessment finding should the nurse report immediately to the physician?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a preoperative client on how to eﬀectively deep breathe. Which instruction would be included?

Correct Answer is B

Explanation

A client has been prescribed a clear liquid diet. What food or ﬂuids will be served?

Correct Answer is A

Explanation

The nurse is caring for a postpartum client who is receiving pain medication through an epidural catheter. Which assessment finding should the nurse report immediately to the physician?

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