The nurse is caring for a client.

Which of the following findings would the nurse report to the anesthesia provider?

Pulse 88 bpm.

Pain of 1 on a 0 to 10 scale.

Blood pressure 88/52 mmHg.

Dizziness.

Answer and Explanation

The Correct Answer is C

Choice A rationale
A pulse of 88 bpm is within the normal range for an adult and does not indicate any immediate concern that needs to be reported to the anesthesia provider.
Choice B rationale
A pain level of 1 on a 0 to 10 scale indicates that the epidural is effectively managing the client’s pain. This is a positive outcome and does not require reporting.
Choice C rationale
Blood pressure of 88/52 mmHg indicates hypotension, which is a common and potentially serious side effect of epidural anesthesia. Hypotension can lead to decreased placental perfusion and fetal distress, so it requires immediate attention and reporting to the anesthesia provider.
Choice D rationale
Dizziness can be a side effect of epidural anesthesia, but it is not as critical as hypotension. It should be monitored, but it does not require immediate reporting unless it is severe or accompanied by other symptoms.

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Correct Answer is B

Explanation

Choice A rationale
Providing ice chips or mouth swabs can help keep the client comfortable and hydrated, but it is not the priority action when administering pain medication.
Choice B rationale
Assessing and documenting maternal vital signs and fetal heart rate after administering Fentanyl is crucial. This ensures that the medication is not causing any adverse effects on the mother or fetus and that both are stable.
Choice C rationale
Dimming the lights and providing a quiet atmosphere can help create a calming environment, but it is not the priority action when administering pain medication.
Choice D rationale
Assisting the patient with coping skills, including breathing techniques, is important for managing pain, but it is not the priority action when administering pain medication.

Correct Answer is ["0.05"]

Explanation

Step 1: Calculate the volume to administer. 0.25 mg ÷ (5 mg/mL) = 0.05 mL Step 2: Administer the calculated volume. The nurse should administer 0.05 mL.

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The nurse is caring for a client. Which of the following findings would the nurse report to the anesthesia provider?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is preparing to administer Terbutaline 0.25 mg SQ to a client for tachysystole. Available is terbutaline injection 5 mg/mL. How many mL should the nurse administer? (Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.05"]

Explanation

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The nurse is caring for a client. Which of the following findings would the nurse report to the anesthesia provider?

The nurse is caring for a client.

Which of the following findings would the nurse report to the anesthesia provider?