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?
Administer the medication immediately after a contraction.
Administer the medication 5 minutes before the expected delivery time.
Administer the medication with an antiemetic.
Administer the medication with a benzodiazepine.
The Correct Answer is A
Administer the medication immediately after a contraction. This is because fentanyl can cross the placenta and cause respiratory depression in the fetus, so it should be given when the placental blood flow is lowest, which is right after a contraction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A potential complication of spinal anesthesia is postdural puncture headache (PDPH), which occurs when cerebrospinal fluid leaks through the puncture site and causes low pressure in the subarachnoid space.
This can result in a severe headache that worsens when sitting or standing and improves when lying down.PDPH usually occurs within 24 to 48 hours after the spinal anesthesia and can last for days or weeks.
Correct Answer is A
Explanation
This is a sign ofrespiratory depression, which is a possible adverse effect of meperidine.Meperidine is an opioid analgesic that can slow or stop breathing, and cause death in some cases.
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