A nurse is caring for an adolescent who is postoperative following epidural anesthesia. Which of the following findings should the nurse expect?
Hypertension
Mild sedation
Urinary retention
Respiratory depression
The Correct Answer is C
A. "Hypertension" Epidural anesthesia typically causes hypotension, not hypertension, due to vasodilation and decreased sympathetic nervous system activity.
B. "Mild sedation" While some systemic absorption of anesthetics may occur, epidural anesthesia primarily affects sensory and motor function rather than causing significant sedation.
C. "Urinary retention" Epidural anesthesia can inhibit bladder sensation and detrusor muscle function, leading to urinary retention. The nurse should monitor urine output and assess for bladder distention.
D. "Respiratory depression" While respiratory depression can occur with high doses of opioids administered through an epidural, it is not a common expected effect of epidural anesthesia alone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","F","G"]
Explanation
Capillary refill 4 seconds (Cardiovascular) – Indicates poor perfusion and worsening dehydration.
Extremities cool (Integumentary) – Suggests impaired circulation, potential hypovolemia.
Reports no tears (Integumentary) – Sign of severe dehydration.
Lethargic (Neurologic) – Worsening mental status, could indicate hypovolemia or electrolyte imbalance.
Heart rate 112/min – Mildly elevated but not yet critical.
Respiratory rate 26/min – Within an acceptable range for a toddler.
Hyperactive bowel sounds – Expected with diarrhea.
Diaper area reddened – Needs care but not urgent
Correct Answer is D
Explanation
A. Avoid giving the child live virus vaccines. Children with heart failure can receive live vaccines unless they are immunocompromised (e.g., from immunosuppressive therapy).
B. Weigh the child every other day. Daily weights are necessary to monitor fluid retention, a key concern in heart failure.
C. Ensure that the child sleeps in an air-conditioned room. While a cool environment may be comfortable, this is not a priority intervention for heart failure management.
D. Consolidate activities to promote the child's rest. Children with heart failure experience fatigue easily due to reduced cardiac output. Grouping activities together minimizes energy expenditure and promotes adequate rest.
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