The nurse is monitoring a client in active labor who has an epidural in place. Which of the following findings should be reported to the anesthesiologist immediately? (Select All that Apply.)

Slurred speech

Respiratory depression

Decreased sensation in the lower extremities

Sustained fetal heart rate of 150 bpm

Blood pressure 108/62

Answer and Explanation

Correct Answer : A,B

A. Slurred speech – Slurred speech may indicate systemic absorption of the epidural medication, leading to toxicity or excessive central nervous system depression, which requires immediate intervention.

B. Respiratory depression – A serious complication of epidural anesthesia is respiratory depression, which may result from excessive medication spread, affecting respiratory function. Immediate intervention is required.

C. Decreased sensation in the lower extremities – This is an expected effect of an epidural and does not necessarily require immediate reporting unless it extends beyond expected levels.

D. Sustained fetal heart rate of 150 bpm – This fetal heart rate is within the normal range (110-160 bpm) and does not indicate distress.

E. Blood pressure 108/62 – While hypotension can be a side effect of epidural anesthesia, this blood pressure is within an acceptable range for many clients and does not require immediate intervention unless the client is symptomatic.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A","dropdown-group-3":"A"}

Explanation

Step 1: Identify the Prescribed Volume

The provider prescribed 15 mL of codeine with acetaminophen oral elixir to be taken by mouth once.
Correct choice: 15 mL

Step 2: Calculate the Codeine Dose

The formulary concentration states:

2.4 mg/mL of codeine

15mL×2.4mg/mL=36 mg of codeine

Correct choice: 36 mg of codeine

Step 3: Calculate the Acetaminophen Dose

The formulary concentration states:

24 mg/mL of acetaminophen

15mL×24mg/mL=360mg of acetaminophen

Correct choice: 360 mg of acetaminophen

A. Swelling and redness in one breast, accompanied by flu-like symptoms B. A white patch on a nipple C. Symmetrical breast swelling with a sudden increase in milk production D. Bilateral breast tenderness and engorgement with no fever

Correct Answer is A

Explanation

A. "Swelling and redness in one breast, accompanied by flu-like symptoms."
Mastitis is a bacterial infection in breastfeeding mothers, typically caused by Staphylococcus aureus. It presents with unilateral breast pain, erythema, swelling, fever, and flu-like symptoms.

B. "A white patch on a nipple."
A white patch on the nipple may indicate a blocked milk duct or thrush (Candida infection), not mastitis.

C. "Symmetrical breast swelling with a sudden increase in milk production."
Engorgement occurs when the breasts overfill with milk, leading to bilateral swelling, tenderness, and firmness, but no systemic signs of infection like fever or flu-like symptoms.

D. "Bilateral breast tenderness and engorgement with no fever."
Normal breast engorgement can cause discomfort, but mastitis typically affects one breast and causes fever and systemic symptoms.

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The nurse is monitoring a client in active labor who has an epidural in place. Which of the following findings should be reported to the anesthesiologist immediately? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A","dropdown-group-3":"A"}

Explanation

A nurse is caring for a client who is 3 days postpartum and is attempting to breastfeed. Which of the following findings indicate mastitis?

Correct Answer is A

Explanation

G1P1, 37 weeks' gestation patient with a scheduled nonstress test (NST) Complete the following sentence using the drop-down options. The nurse's greatest concern is the client's risk of developing __i_____ and related to __ii____ and ___iii____.

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The nurse is reviewing fetal and maternal circulation with a group of nursing students. Which statement by a student demonstrates a need for further clarification?

Exhibits Select a condition, the assessment cues, and anticipated solutions for this client.

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