A nurse is caring for a client who has opioid use disorder and is in labor.
Which of the following actions should the nurse take to provide individualized pain management for this client? (Select all that apply.).
Consult with a substance use disorder specialist.
Use nonpharmacological measures as much as possible.
Administer higher doses of opioids than usual.
Monitor the client and the fetus closely for signs of withdrawal.
Educate the client about judicious opioid prescribing practices.
Correct Answer : A,D
The nurse should consult with a substance use disorder specialist to determine the best pain management plan for the client who has opioid use disorder and is in labor.
The nurse should also monitor the client and the fetus closely for signs of withdrawal, which can occur due to reduced opioid intake during labor or due to the administration of opioid antagonists.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This is a description of spinal anesthesia, which is the safest form of anesthesia for cesarean delivery.Spinal anesthesia involves inserting a needle into the subarachnoid space and injecting a local anesthetic and/or a narcotic into the cerebrospinal fluid.
A lumbar puncture involves making a small puncture in the dura mater and allowing a small amount of cerebrospinal fluid to leak out for analysis.
A lumbar puncture does not involve injecting any medication or blocking any pain sensations.
Correct Answer is A
Explanation
This finding should be reported to the provider because it indicates a possible infection, which can be a complication of epidural anesthesia.
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