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
This statement indicates that the client understands the advantages of CSE anesthesia over epidural or spinal anesthesia alone.CSE anesthesia combines the rapid onset and reliable blockade of spinal anesthesia with the ability to extend and adjust the analgesia through epidural catheterization.This makes CSE anesthesia suitable for procedures that require timely, effective, and prolonged pain relief, such as labor and delivery, abdominal surgery, and lower extremity orthopedic surgery.
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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