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 C

Explanation

When communicating with a client who has difficulty hearing a conversation, it is important for the nurse to face the client during the conversation. This allows the client to see the nurse's mouth and facial expressions, which can help them better understand what is being said. Additionally, facing the client can help reduce background noise and improve the clarity of the nurse's speech.

A. Instruct the client to report promptly to the practitioner any decreased redness, swelling, pain, or discharge from the incision or drain sites. B. Emphasize the importance of adequate rest for healing and immune function. C. Instruct the client to use pain medications as ordered and not to exceed the prescribed dose. D. Teach the client to avoid using alcohol or other central narcotic analgesics.

Correct Answer is A

Explanation

During discharge planning, the nurse is responsible for teaching the client how to maintain comfort, promote healing, and restore wellness. This includes instructing the client to report promptly to the practitioner any **increased** redness, swelling, pain, or discharge from the incision or drain sites. These symptoms may indicate an infection or other complication that requires medical attention. The other actions listed are correct and important for promoting healing and wellness after discharge.

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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

The nurse is caring for a client who has difficulty hearing conversation. What intervention should the nurse implement?

Correct Answer is C

Explanation

During discharge planning, the nurse is responsible for teaching the client how to maintain comfort, promote healing, and restore wellness. However, one of the actions listed below is not correct.

Correct Answer is A

Explanation

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