Exhibits
Review H and P, nurse's notes, laboratory values, flow sheet, and prescriptions.
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The client demonstrates effective epidural anesthesia by
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B","dropdown-group-3":"C"}
Pain relief: One of the primary goals and indications of effective epidural anesthesia is significant reduction or elimination of pain associated with labor contractions, as reflected in the patient asking for and receiving the epidural to manage increasing pain levels.
Progression of labor: Effective epidural anesthesia should allow the labor to progress without adding undue stress or causing significant delays. Monitoring cervical dilation and effacement as well as the baby's descent (station) helps determine if labor is progressing normally even after epidural administration.
Vital signs: Stable vital signs are important indicators that the epidural anesthesia is not causing adverse effects such as severe hypotension or bradycardia, which can sometimes occur with regional anesthesia due to the blockade of sympathetic nerves. Regular monitoring and stability of these signs are crucial for demonstrating effective and safe epidural anesthesia management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A: Notifying the charge nurse is important but secondary to immediately donning appropriate PPE for direct patient care.
B: Explaining the client’s exposure is helpful, but it does not prioritize the nurse’s own safety and infection control.
C: Wearing full PPE, including an N95 mask, is essential for protecting the nurse and others from COVID-19 transmission, especially with a symptomatic client who may be contagious.
D: Teaching the client about prevention is important but not the immediate priority when entering a potentially infectious environment.
Correct Answer is ["B","C"]
Explanation
A. Tinnitus can occur with MS but is not an emergency.
B. Tachycardia may indicate autonomic dysfunction or infection, which could require urgent intervention.
C. Fever is concerning because infections can exacerbate MS symptoms and trigger relapses.
D. Paresthesia is a common MS symptom and does not require immediate reporting unless it significantly worsens.
E. Tremors are an expected MS symptom and are not urgent.
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