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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. "I will lay my baby on their side to sleep for naps." The supine (on the back) position is the safest for sleep to reduce the risk of SUIDS.
B. "I will dress my baby in lightweight clothing to sleep." Overheating is a risk factor for SUIDS. Lightweight clothing helps prevent overheating and promotes safe sleep.
C. "I will have my baby sleep next to me in bed during the night." Bed-sharing increases the risk of suffocation and SUIDS. Room-sharing with a separate sleep surface is recommended.
D. "I will move my baby's stuffed animal to the corner of their crib while they sleep." Soft objects, including stuffed animals and blankets, should not be in the crib at all to reduce the risk of suffocation.

A. "Offer your child foods that are low in calories." B. "Offer your child foods that are high in fat." C. "Offer your child foods that are high in vitamin C." D. "Offer your child foods that are low in protein."

Correct Answer is B

Explanation

A. "Offer your child foods that are low in calories." Children with cystic fibrosis (CF) require a high-calorie diet because their bodies have difficulty absorbing nutrients due to pancreatic insufficiency.
B. "Offer your child foods that are high in fat." A high-fat diet (35%-40% of total calories from fat) is recommended because fat malabsorption is common in CF, and they need additional fat to meet their energy needs.
C. "Offer your child foods that are high in vitamin C." While vitamin C is important, fat-soluble vitamins (A, D, E, and K) are the primary concern since CF patients struggle to absorb them.
D. "Offer your child foods that are low in protein." Children with CF require adequate protein intake to support growth and maintain muscle mass, so protein restriction is not recommended.

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A nurse is caring for an adolescent who is postoperative following epidural anesthesia. Which of the following findings should the nurse expect?

Nursing Test Bank

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