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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
A potential complication of spinal anesthesia is postdural puncture headache (PDPH), which occurs when cerebrospinal fluid leaks through the puncture site and causes low pressure in the subarachnoid space.
This can result in a severe headache that worsens when sitting or standing and improves when lying down.PDPH usually occurs within 24 to 48 hours after the spinal anesthesia and can last for days or weeks.
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