A client received epidural anesthesia during the first stage of labor. The epidural is discontinued immediately after delivery. This client is at increased risk for which problem during the fourth stage of labor?
1. Nausea
2. Bladder distention
3. Uterine atony
4. Hypertension
2
Rationale:
1. The epidural is discontinued after delivery, decreasing the likelihood of nausea.
2. Bladder distention can be a result of decreased bladder sensation in the fourth stage.
3. Uterine atony is not the result of an epidural.
4. Hypotension, not hypertension, is an early side effect of epidurals.
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A) Place the problems in alphabetical order. B) Separate the list into active and inactive problems. C) List the problems according to body system. D) Ask the patient which problem is the highest priority.
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