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?

Meperidine

Promethazine

Diazepam

Nitrous oxide

Answer and Explanation

The Correct Answer is A

Meperidine is an opioid that can be administered intravenously to provide sedation, anxiolysis, and analgesia during labor. It provides pain relief that is superior to nitrous oxide but inferior to regional anesthesia.

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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. “CSE anesthesia will make me feel less numb in my legs.” B. “CSE anesthesia will work faster and last longer than other types of anesthesia.” C. “CSE anesthesia will reduce the risk of bleeding or infection in my spine.” D. “CSE anesthesia will allow me to move around more during labor.”

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.

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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?

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 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?

Correct Answer is B

Explanation

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 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 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?

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 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 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 requests systemic analgesia.

Which of the following medications can the nurse administer intravenously to provide sedation, anxiolysis, and analgesia during labor?