A client in labor is being prepared for epidural anesthesia. What should the nurse expect to perform in order to prevent the most common complication associated with this anesthesia?
1. Observe fetal heart rate variability.
2. Place the client in the semi-Fowler position.
3. Teach the client appropriate breathing techniques.
4. Rapidly infuse 500 to 1000 mL of intravenous fluids.
4
Explanation:
1. Monitoring for fetal heart rate variability will not prevent the most common complication, which is maternal hypotension.
2. Placing the client in the semi-Fowler position will not prevent the most common complication, maternal hypotension.
3. Breathing techniques will not prevent the most common complication, maternal hypotension.
4. Administering a fluid bolus prior to an epidural generally prevents maternal hypotension, which is the most common disadvantage of the procedure.
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