A nurse is caring for a client who received epidural anesthesia during hip surgery. Which of the following manifestations should the nurse monitor as an adverse reaction?
Severe headache
Rapid rise in temperature
Hypertension
Tachycardia
The Correct Answer is A
A. Severe headache can result from epidural anesthesia due to post-dural puncture headache caused by leakage of cerebrospinal fluid.
B. Rapid rise in temperature may indicate infection but is not a common reaction to epidural anesthesia.
C. Hypertension is not a common adverse effect of epidural anesthesia; in fact, hypotension is more typical due to sympathetic blockade.
D. Tachycardia is not a typical adverse reaction, and the most likely response to epidural anesthesia is bradycardia due to autonomic blockade.
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Related Questions
Correct Answer is D
Explanation
A. Medication reconciliation is a process for reviewing medications but not used for documenting an error or adverse event.
B. The plan of care includes the overall care strategy for the client but is not for documenting medication errors.
C. Root cause analysis is conducted after a serious error, typically in a more formal investigation.
D. Occurrence reports are used to document any medication errors or adverse events in the healthcare setting for follow-up and risk management.
Correct Answer is B
Explanation
A. While furosemide may lower blood pressure, weight loss due to fluid reduction is a more direct indicator of its therapeutic effect.
B. Furosemide promotes diuresis, and weight loss is a sign of decreased fluid retention, indicating effectiveness in treating heart failure.
C. An increased heart rate is not a desired effect and may indicate volume depletion or stress.
D. Distended neck veins indicate fluid overload and would not suggest a therapeutic effect.
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