A nurse is caring for a client who is in labor and has received meperidine for pain relief.

Which of the following findings should alert the nurse to a possible adverse effect of the medication?

Maternal respiratory rate of 10/min

Fetal heart rate of 140/min

Maternal blood pressure of 120/80 mm Hg

Fetal heart rate variability of 10/min

Answer and Explanation

The Correct Answer is A

This is a sign of respiratory depression, which is a possible adverse effect of meperidine. Meperidine is an opioid analgesic that can slow or stop breathing, and cause death in some cases.

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Correct Answer is B

Explanation

Inhaled analgesia is contraindicated for this client because it can cause bronchospasm and hypoxia in patients with asthma.

Normal ranges for blood pressure are 90/60 to 120/80 mmHg, for fetal heart rate are 110 to 160 beats per minute, and for bladder function are urine output of at least 30 mL/hour.

A. To create a pathway for local anesthetics to reach the spinal cord B. To allow cerebrospinal fluid to leak into the epidural space and enhance the spread of local anesthetics C. To reduce the pressure in the subarachnoid space and prevent spinal headache D. To stimulate the production of endorphins and provide natural pain relief.

Correct Answer is B

Explanation

The purpose of intentionally puncturing the dura mater with a needle in this technique is to allow cerebrospinal fluid to leak into the epidural space and enhance the spread of local anesthetics.This technique is a modification of the combined spinal epidural technique, which involves injecting medication into both the epidural and the subarachnoid spaces.The dural puncture epidural technique aims to avoid the side effects of the combined spinal epidural technique, such as hypotension, pruritus, and urinary retention.

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A nurse is caring for a client who is in labor and has received meperidine for pain relief. Which of the following findings should alert the nurse to a possible adverse effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who is in labor and has a history of asthma. The nurse should identify that which of the following pharmacologic pain management methods is contraindicated for this client?

Correct Answer is B

Explanation

A nurse is assisting an anesthesiologist with performing dural puncture epidural (DPE) anesthesia for a client in labor. What is the purpose of intentionally puncturing the dura mater with a needle in this technique?

Correct Answer is B

Explanation

A nurse is educating a client about the advantages of combined spinal-epidural (CSE) anesthesia over epidural or spinal anesthesia alone. Which of the following statements by the client indicates understanding of the teaching?

A nurse is caring for a client who is in labor and has received meperidine for pain relief. Which of the following findings should alert the nurse to a possible adverse effect of the medication?

A nurse is preparing to administer epidural anesthesia to a client in labor. What is the minimum cervical dilation required before inserting the catheter into the epidural space?

A nurse is caring for a client who received spinal anesthesia for a cesarean delivery. The nurse should monitor the client for which of the following potential complications of spinal anesthesia?

A nurse is preparing to administer fentanyl to a client who is in labor and has severe pain. Which of the following actions should the nurse take to prevent adverse effects on the fetus?

A nurse is caring for a client who is in labor and requests systemic analgesia. Which of the following medications can the nurse administer intravenously to provide sedation, anxiolysis, and analgesia during labor?

A nurse is planning to administer paracervical block to a client in labor. Which of the following areas should the nurse inject local anesthetics into?

A client who is in labor asks the nurse about the benefits and limitations of inhaled analgesia. Which of the following statements should the nurse include in the teaching?

A nurse is caring for a client who is in labor and has received meperidine for pain relief.

Which of the following findings should alert the nurse to a possible adverse effect of the medication?