A nurse is administering an epidural analgesia to a client in labor.
Which of the following actions should the nurse take?
Ensure informed consent is obtained from the client.
Position the client in a supine position with a pillow under her head.
Inject a test dose of lidocaine into the epidural space.
Monitor the fetal heart rate continuously for 5 minutes after administration.
The Correct Answer is A
Obtaining informed consent is an essential step before administering epidural analgesia to a client in labor. The nurse should explain the procedure, benefits, risks, and alternatives to the client and obtain her written consent.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
According to the article by Carvalho and Mhyre, pain scales such as the numerical rating scale are unidimensional and lack many characteristics of an ideal psychometric pain instrument in a labor setting.
They also state that “the most important question for laboring women is not ‘How much does it hurt?’ but rather ‘How are you coping?’”.Therefore, the nurse’s priority action is to assess the woman’s coping skills and provide comfort measures such as relaxation, breathing techniques, massage, heat or cold application, etc
Correct Answer is C
Explanation
This is a pain assessment tool that combines pictures and numbers for pain ratings.
It can be used in adults and children over age 3.
Six faces depict different expressions, ranging from happy to extremely upset.
Each is assigned a numerical rating between 0 (smiling) and 10 (crying).To use it, the patient can point to the picture that best represents the degree and intensity of their pain.
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