A client is receiving an epidural anesthesia during labor. Which observation is the most important adverse effect that the practical nurse (PN) should assess for following the administration of the epidural?

Maternal hypotension.

A vaginal hematoma.

A continuous headache.

Urinary retention.

Answer and Explanation

The Correct Answer is A

A. Maternal hypotension is a significant adverse effect of epidural anesthesia that can lead to decreased uterine blood flow and fetal distress. Monitoring for hypotension is critical to ensure both maternal and fetal well-being.
B. While a vaginal hematoma is a potential complication, it is less immediately associated with the administration of epidural anesthesia compared to hypotension.
C. A continuous headache could indicate post-dural puncture but is less common and not the primary immediate concern compared to hypotension following an epidural.
D. Urinary retention can occur with epidural anesthesia, but maternal hypotension is a more urgent and significant immediate concern.

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Correct Answer is B

Explanation

A. NSAIDs are not associated with the characteristic features of truncal obesity, moon face, and buffalo hump.
B. Corticosteroids can cause truncal obesity, moon face, and buffalo hump as side effects due to their effects on metabolism and fat distribution.
C. Thyroid replacement hormone is used to treat hypothyroidism and does not cause the symptoms described.
D. Insulin is used to manage diabetes and does not typically cause the features seen in Cushing’s syndrome associated with corticosteroid use.

A. Explore the client's thoughts about dying. B. Propose to notify the family of the request. C. Suggest that the hospital chaplain is available. D. Offer to contact the priest for the client.

Correct Answer is D

Explanation

A. Exploring the client’s thoughts about dying is supportive but not the immediate priority when a specific request for a religious ritual is made.
B. Notifying the family of the request is a secondary action but should follow the immediate fulfillment of the client's request for spiritual support.
C. Suggesting that the hospital chaplain is available might be appropriate, but the client's specific request was for a priest, and it is better to offer to contact the priest directly.
D. Offering to contact the priest for the client directly addresses the client's immediate spiritual need and respects their request.

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A client is receiving an epidural anesthesia during labor. Which observation is the most important adverse effect that the practical nurse (PN) should assess for following the administration of the epidural?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) notes that a client has truncal obesity, a moon face, and a buffalo hump. The PN should question the client about recent use of which type of medication?

Correct Answer is B

Explanation

The practical nurse (PN) is caring for a hospice client who requests a priest for the "Last Rites." Which should be the next response by the PN?

Correct Answer is D

Explanation

An older adult client of a long-term care facility is awake at 0330 and wandering down the hall in unbuttoned pajamas. Which intervention should the practical nurse (PN) implement?

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