A nurse is caring for a client who received epidural analgesia during labor and is 4 hr postpartum. Which of the following client reports should the nurse address first?

Tingling in her legs

Abdominal cramps

Itching

Inability to void

Answer and Explanation

The Correct Answer is D

Epidural analgesia during labor can cause temporary bladder dysfunction, which may result in an inability to void. This is due to the epidural medication affecting the nerves that control the bladder. If the client is unable to void, it can lead to bladder distention, which can be uncomfortable for the client and increase the risk of infection.

Tingling in her legs, abdominal cramps, and itching are common side effects of epidural analgesia, and can be addressed after the client's inability to void is addressed. The nurse can provide the client with education on these side effects and reassurance that they are typically temporary and should resolve on their own.

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Correct Answer is C

Explanation

The nurse should report a platelet count of 60,000/mm to the provider as this value is below the normal range and can indicate severe preeclampsia or HELLP syndrome, both of which are serious conditions that require immediate medical intervention. The other values are within normal range for pregnancy.

A. "This medication stabilizes the fetal heart rate." B. "This medication prevents seizures." C. "This medication increases cardiac output." D. This medication improves tissue perfusion."

Correct Answer is B

Explanation

Magnesium sulfate is used to prevent seizures in clients with preeclampsia. It works by relaxing the smooth muscles and blocking neuromuscular transmission. While magnesium sulfate can indirectly improve fetal heart rate and tissue perfusion by preventing seizures, it does not directly stabilize the fetal heart rate or increase cardiac output.

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A nurse is caring for a client who received epidural analgesia during labor and is 4 hr postpartum. Which of the following client reports should the nurse address first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a newborn. Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate?

Correct Answer is B

Explanation

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