A nurse is caring for a client who is in active labor and requesting an epidural. Which of the following actions should the nurse take?
Give ondansetron IV to the client.
Administer IV fluid bolus to the client.
Delay the epidural until the client is dilated to 7 cm.
Initiate oxygen via nonrebreather to support patterned breathing
The Correct Answer is B
A. Ondansetron is used to treat nausea but is not a routine pre-epidural intervention.
B. Administering an IV fluid bolus before epidural anesthesia helps prevent hypotension caused by sympathetic blockade.
C. Epidurals can be administered earlier than 7 cm dilation based on maternal request and clinical assessment.
D. Oxygen administration is not routinely required before an epidural unless fetal distress or maternal hypoxia is present.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. HSV-2 can cause neonatal herpes, which may result in serious complications or fetal demise if transmitted at delivery.
B. Tight-fitting undergarments can increase moisture and irritation; clients should wear loose cotton underwear to promote healing.
C. The risk of neonatal transmission is highest when active lesions or viral shedding are present at the time of vaginal delivery.
D. Antiviral medications (e.g., acyclovir) suppress viral replication and reduce outbreaks and shedding but do not eradicate the virus.
Correct Answer is D
Explanation
A. Water retention is not a common adverse effect of methylergonovine.
B. Tachycardia is not typically caused by methylergonovine; bradycardia or hypertension is more common.
C. Seizures are not a common side effect of this medication.
D. Hypertension is a known adverse effect of methylergonovine and requires close monitoring, especially in clients with preexisting hypertension.
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