A nurse is providing care to a client who is receiving an epidural block with an opioid analgesic.

Which of the following findings should the nurse monitor as a potential adverse effect of the medication?

Polyuria

Bilateral crackles

Hypotension

Hyperglycemia

Answer and Explanation

The Correct Answer is C

Choice A rationale
Polyuria, or excessive urination, is not typically associated with the administration of an epidural block with an opioid analgesic.
Choice B rationale
Bilateral crackles in the lungs can be a sign of a respiratory condition such as pneumonia or heart failure. However, they are not a common side effect of an epidural block with an opioid analgesic.
Choice C rationale
Hypotension, or low blood pressure, is a known side effect of epidural analgesia. This is due to the blockade of the sympathetic chain, which can contribute to hypotension. Therefore, it is important for the nurse to monitor the client’s blood pressure during the administration of an epidural block with an opioid analgesic.
Choice D rationale
Hyperglycemia, or high blood sugar, is not typically a side effect of an epidural block with an opioid analgesic. Hyperglycemia is more commonly associated with conditions such as diabetes.

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Correct Answer is A

Explanation

Choice A rationale
Jitteriness is a common sign of hypoglycemia in newborns. Newborns whose mothers had gestational diabetes are at an increased risk of developing hypoglycemia shortly after birth. Other signs of neonatal hypoglycemia can include poor feeding, lethargy, and seizures.
Choice B rationale
Increased muscle tone is not typically associated with hypoglycemia in newborns. However, decreased muscle tone can be a sign of severe hypoglycemia.
Choice C rationale
Abdominal distention is not typically associated with hypoglycemia in newborns. However, it can be a sign of other conditions, such as gastrointestinal obstruction or sepsis.
Choice D rationale
Petechiae, or small red or purple spots on the skin caused by bleeding into the skin, are not typically associated with hypoglycemia in newborns. However, they can be a sign of other conditions, such as infection or a bleeding disorder.

A. Wash your baby’s face with plain water. B. Place a bumper pad in your baby’s crib. C. Put a soft mattress in your baby’s crib. D. Bathe your baby immediately after a feeding.

Correct Answer is A

Explanation

Choice A rationale
Washing a baby’s face with plain water is a safe and effective way to keep it clean without causing irritation or dryness. This is especially important for newborns, whose skin is more sensitive than that of older children and adults.
Choice B rationale
Bumper pads are not recommended for use in a baby’s crib. They pose a risk of suffocation, strangulation, and entrapment. Instead, the crib should be kept bare, with only a firm mattress and a fitted sheet.
Choice C rationale
A soft mattress is not safe for a baby’s crib. It increases the risk of sudden infant death syndrome (SIDS) because it can conform to the shape of the baby’s head or face, leading to suffocation. A firm mattress is recommended.
Choice D rationale
Bathing a baby immediately after feeding is not recommended. It can cause discomfort and may lead to vomiting. It’s better to wait at least a little while after a feeding before bathing the baby.

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A nurse is providing care to a client who is receiving an epidural block with an opioid analgesic. Which of the following findings should the nurse monitor as a potential adverse effect of the medication?

Nursing Test Bank

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A nurse is providing care to a client who is receiving an epidural block with an opioid analgesic.

Which of the following findings should the nurse monitor as a potential adverse effect of the medication?