Exhibits

select from Word Choices to complete the sentence.

The client receiving epidural anesthesia would be at risk for developing
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due to
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Answer and Explanation

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

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Correct Answer is ["A","C","D"]

Explanation

A. Hydrochlorothiazide: Thiazide diuretics reduce calcium excretion by the kidneys, which can increase serum calcium levels and worsen hypercalcemia in clients with hyperparathyroidism.

B. Acetaminophen: Acetaminophen is not known to affect calcium or parathyroid function, so it is generally safe for pain or fever management in these clients.

C. Lithium carbonate: Lithium can increase parathyroid hormone secretion, thereby exacerbating hyperparathyroidism and hypercalcemia, making it a medication of concern.

D. Calcium carbonate: Calcium supplements can further raise serum calcium levels in clients with hyperparathyroidism, increasing the risk of renal stones or cardiac complications, and should be reviewed.

E. Sodium phosphate supplement: Phosphate supplements can actually lower calcium levels and may be used therapeutically in some cases of hyperparathyroidism, so they are not typically contraindicated.

A. Record the amount of daily wound drainage. B. Replace fluids IV based on intake and output. C. Assess skin condition and turgor for breakdown. D. Turn every 2 hours around the clock from side-to-side.

Correct Answer is B

Explanation

A. Record the amount of daily wound drainage: Monitoring wound drainage is important to track healing and detect infection, but it is secondary to maintaining fluid and electrolyte balance, which can be severely disrupted after bowel surgery.

B. Replace fluids IV based on intake and output: Clients with severe ulcerative colitis and recent surgery are at high risk for fluid volume deficit due to diarrhea, drainage, and third-spacing. Accurately replacing fluids based on measured losses is critical to maintaining perfusion and preventing hypovolemic shock.

C. Assess skin condition and turgor for breakdown: Skin assessment helps monitor hydration and prevent pressure injuries, but this is supportive care. Without addressing fluid replacement first, skin integrity will continue to deteriorate due to systemic dehydration.

D. Turn every 2 hours around the clock from side-to-side: Repositioning is essential for preventing pressure ulcers but does not address the acute physiological threats posed by fluid loss and instability in the immediate postoperative period.

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Exhibits select from Word Choices to complete the sentence. The client receiving epidural anesthesia would be at risk for developing dropdown due to dropdown

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","C","D"]

Explanation

A client with a history of inflammatory bowel disease develops severe ulcerative colitis and is admitted to the intensive care unit after surgery for a fistula repair. Which intervention is most important for the nurse to include in the plan of care?

Correct Answer is B

Explanation

A client's catheter bag was left on the client's bed for a prolonged period of time, and the client develops a urinary tract infection (UTI). In evaluating the cause of the infection, which should the nurse identify as the infection reservoir?

A female client is taking alendronate, a bisphosphonate, for postmenopausal osteoporosis. The client tells the nurse that she is experiencing jaw pain. How should the nurse respond?

Following laser trabeculoplasty surgery for open-angle glaucoma, the client reports acute pain deep within the eye. Which action should the nurse take?

Exhibits Which intervention(s) should the nurse initiate if elder mistreatment is suspected? Select all that apply.

Patient Data The nurse is stabilizing the client and preparing her for surgery. Which goals should the nurse prioritize in the care plan for the client while in the emergency department? Select all that apply.

When assessing a client who had a transurethral resection of the prostate (TURP) one day ago, the nurse observes that his scrotum and penis are edematous. Which intervention(s) should the nurse implement? Select all that apply.

Exhibits

select from Word Choices to complete the sentence.

The client receiving epidural anesthesia would be at risk for developing
dropdown
due to
dropdown