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 B, A, C, D, E

Explanation

Step 1 is to apply a warm cloth to the newborn’s heel for 5 to 10 minutes. Warming the heel improves blood flow to the area, making it easier to obtain a blood sample.

Step 2 is to clean the area with an antiseptic. This is to prevent infection.

Step 3 is to puncture the outer aspect of the newborn’s heel. The outer aspect of the heel is less sensitive and less likely to be injured by the lancet.

Step 4 is to collect the blood specimen. After the heel has been punctured, blood will start to flow out and can be collected.

Step 5 is to apply pressure to the site with a dry gauze pad. This is to stop the bleeding after the blood sample has been collected.

A. A client who is at 10 weeks of gestation and reports frequent urination. B. A client who is at 24 weeks of gestation and reports periodic tingling of the fingers. C. A client who is at 36 weeks of gestation and reports back pain following intercourse. D. A client who is at 8 weeks of gestation and reports severe vomiting.

Correct Answer is D

Explanation

Choice A rationale
Frequent urination is a common symptom in early pregnancy due to increased blood flow to the woman’s kidneys. While it can be inconvenient, it is usually not a sign of a serious problem.
Choice B rationale
Periodic tingling of the fingers can be a symptom of carpal tunnel syndrome, which is common during pregnancy due to fluid retention causing pressure on the median nerve. While it can be uncomfortable, it is usually not a serious concern.
Choice C rationale
Back pain following intercourse can be a normal symptom of pregnancy due to hormonal changes and stretching of ligaments. It is usually not a cause for immediate concern.
Choice D rationale
Severe vomiting in early pregnancy could be a sign of hyperemesis gravidarum, a severe form of nausea and vomiting in pregnancy that can lead to dehydration and weight loss. This is a potentially serious condition that requires immediate medical attention.

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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

Naxlex Comprehensive Predictor Exams

A nurse is preparing to obtain a blood sample from a newborn’s heel. In what order should the nurse perform the procedure?

Correct Answer is B, A, C, D, E

Explanation

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Correct Answer is D

Explanation

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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?

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?