A client dilated to 5 cm has just received an epidural for pain. She complains of feeling lightheaded and dizzy within 10 minutes after the procedure. Her blood pressure was 120/80 before the procedure and is now 80/52
In addition to the bolus of fluids she has been given, which medication is preferred to increase her BP? 1. Epinephrine
2. Terbutaline
3. Ephedrine
4. Epifoam
3
Explanation: 3. Ephedrine is the medication of choice to increase maternal blood pressure.
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Q.4h
What will be an ideal response?
Which principle guides nursing intervention in the assault cycle?
a. Contagiousness of violence b. Least restrictive alternative c. Containment d. Control
Which of the following entries documenting a skilled nursing visit will best promote timely and complete reimbursement?
1. A skilled nursing visit was conducted to monitor the client's response to daily dressing changes and to prevent further complications. 2. A skilled nursing visit was conducted to assess the client's ability to perform insulin injections and to evaluate blood glucose levels. 3. Previous education was reinforced and the nurse observed that the client was taking her medication as ordered. 4. Options for long-term care were discussed with the client and caregivers, and they recognize that multiple sclerosis is a chronic, degenerative condition.
A new nurse is completing an assessment on an 80-year-old patient who is alert and oriented. The patient's daughter is present in the room. Which action by the nurse will require follow-up by the charge nurse?
a. The nurse makes eye contact with the patient. b. The nurse speaks only to the patient's daughter. c. The nurse leans forward while talking with the patient. d. The nurse nods periodically while the patient is speaking.