Exhibits
select from Word Choices to complete the sentence.
The client receiving epidural anesthesia would be at risk for developing
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}
• Condition: Hypotension is a known side effect of epidural anesthesia is hypotension due to sympathetic nervous system blockade, which leads to peripheral vasodilation. This can reduce blood return to the heart, lowering cardiac output and maternal blood pressure.
• Peripheral vasodilation: Epidural anesthesia causes sympathetic blockade, resulting in peripheral vasodilation, venous pooling, and a potential drop in maternal blood pressure. This is the primary physiological mechanism behind epidural-induced hypotension.
Rationale for Incorrect Options:
• Inadequate pain relief: Epidural anesthesia is typically highly effective for labor pain when properly administered. There is no indication in the notes of breakthrough pain or poor anesthetic placement, so this is not the primary concern at this stage.
Fluid overload: While IV fluids are administered with an epidural to reduce the risk of hypotension, the infusion rate of 75 mL/hr is not excessive. There are no signs such as edema, crackles, or elevated blood pressure to suggest fluid overload.
• Urinary retention: Epidurals can cause decreased sensation in the bladder, leading to retention, but the question directs attention to the physiological effects of the epidural itself, making hypotension a more critical risk based on vasodilation.
• Decreased fetal heart rate: Fetal bradycardia can occur secondary to maternal hypotension, but it's a consequence rather than a direct client finding for this case. The FHR remains within normal limits, suggesting no current distress.
• Full urinary bladder: This may occur later with epidural anesthesia due to reduced bladder sensation. However, there's no current evidence in the case data of bladder distension or delayed voiding.
• Inability to push: This may occur during the second stage of labor if motor block is excessive, but the client is currently in early labor and not yet pushing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","H"]
Explanation
A. Take time for yourself and the other relationships that you care about: This promotes caregiver well-being by acknowledging that personal time and healthy relationships outside the caregiving role are essential to prevent burnout and emotional fatigue.
B. Saying "no" to things involving the care of your mother is a selfish action: This implies guilt and discourages boundary-setting. Healthy caregiving includes saying no when needed to protect one’s mental and physical health.
C. You made a promise to your mother that you need to keep: Using promises as justification may pressure caregivers to maintain unsafe or unsustainable situations. Care decisions should reflect the client’s evolving needs, not rigid obligations.
D. Involve your mother in the decision making process: Encouraging the daughter to include her mother in decisions respects the client’s autonomy. Since the client is alert and oriented, involving her promotes dignity and preserves independence.
E. Moving your mother into a care facility will show her that you do not love her: This statement reinforces guilt and is emotionally manipulative. Facility placement can be a compassionate and necessary choice for safety and appropriate care.
F. Helping your mother should be easier than raising a child: This comparison minimizes the unique challenges of elder care. Each caregiving role involves different emotional, physical, and logistical demands and should not be equated.
G. Avoid discussion of negative situations that may occur in the future: Avoidance limits preparedness and can worsen outcomes. Planning ahead for future changes supports both the client’s care and the caregiver’s confidence.
H. It is okay not to love or like your mother when you are feeling overwhelmed: This statement validates complex emotions often experienced by caregivers. Acknowledging difficult feelings can reduce guilt and support emotional resilience.
Correct Answer is {"A":{"answers":"C"},"B":{"answers":"C"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"A"}}
Explanation
Manifestation of Abuse |
Physical abuse |
Abandonment |
Neglect |
Poor personal hygiene |
✔ |
||
Depression or withdrawn behavior |
✔ |
||
Untreated pressure injuries |
✔ |
||
Bruises in various stages of healing |
✔ |
||
Leaving an older adult in a public space |
✔ |
||
Oversedation |
✔ |
• Bruises in various stages of healing: Suggests repeated injury over time, which is a key indicator of physical abuse. These bruises often occur in hidden areas and are inconsistent with normal aging or known medical conditions.
• Oversedation: Reflects misuse of medication to control or silence the client, interfering with consciousness and autonomy. This constitutes physical abuse when done without clinical justification or consent.
• Leaving an older adult in a public space: Represents abandonment by a caregiver who fails to ensure the older adult's safety or access to basic care needs. It places the person at serious risk of harm or exploitation.
• Poor personal hygiene: Indicates neglect, as the caregiver is not assisting with or providing access to basic hygiene needs like bathing, grooming, and oral care, all of which are essential for health and dignity.
• Depression or withdrawn behavior: Often results from social isolation, lack of engagement, and emotional neglect. In this case, the client is restricted from activities and interactions that support mental well-being.
• Untreated pressure injuries: Reflect failure to provide adequate repositioning, incontinence care, and wound management. The presence of multiple open wounds and boggy heels signals clear neglect of nursing and hygiene care.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.