A nurse is assessing a client in labor who has had epidural esthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?
Hypotension
Respiratory depression
Tachycardia
Vomiting
The Correct Answer is A
A. Hypotension: This is the correct answer. Hypotension, or low blood pressure, is a common side effect of epidural anesthesia. The epidural can block sympathetic nerves, which can cause blood vessels to dilate and lead to a drop in blood pressure.
B. Respiratory depression: While respiratory depression can occur with certain types of anesthesia, it is not a common side effect of epidural anesthesia.
C. Tachycardia: Tachycardia, or rapid heart rate, is not a typical side effect of epidural anesthesia.
D. Vomiting: Nausea and vomiting can occur with any type of anesthesia, but they are not specific to epidural anesthesia and are not the most common complication. Hypotension is a more common and significant complication that should be monitored for in a client who has had an epidural block.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. It prevents the formation of Rh antibodies in newborns who are Rh positive: This is not correct. Rh(D) immunoglobulin is given to the mother, not the newborn, and it does not prevent the formation of Rh antibodies in the newborn.
B. It destroys Rh antibodies in mothers who are Rh negative: This is not correct. Rh(D) immunoglobulin does not destroy existing Rh antibodies. Instead, it prevents the formation of new Rh antibodies.
C. It destroys Rh antibodies in newborns who are Rh positive: This is not correct. Rh(D) immunoglobulin is given to the mother, not the newborn, and it does not destroy Rh antibodies in the newborn.
D. It prevents the formation of Rh antibodies in mothers who are Rh negative: This is the correct choice. Rh(D) immunoglobulin is given to Rh-negative mothers who have potentially been exposed to Rh-positive blood (such as through childbirth, miscarriage, or certain procedures during pregnancy). The medication works by preventing the mother’s immune system from recognizing the Rh-positive cells and producing antibodies against them. This helps to prevent complications in future pregnancies, such as hemolytic disease of the newborn.
Correct Answer is C
Explanation
A. Apply petroleum jelly to the cord stump: This is not recommended. Applying petroleum jelly can create a moist environment, which can delay the drying and falling off of the cord stump.
B. Wash the cord daily with mild soap and water: This is not necessary. The cord stump should be kept dry to promote healing and prevent infection. Washing it daily with soap and water can delay the drying process.
C. Give a sponge bath until the cord stump falls off: This is the correct choice. Sponge baths are recommended until the cord stump falls off and the area is healed. This helps to keep the cord stump dry and clean, which promotes healing and prevents infection.
D. Cover the cord with the diaper: This is not recommended. The diaper should be folded down so that the cord stump is exposed to air, which helps it dry out and fall off. Covering the cord stump with the diaper can keep it moist and delay the healing process. It can also expose the stump to urine and feces, which can lead to infection.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.