A laboring client is going to be given an epidural for pain management in labor. Prior to the procedure, the physician orders rapid intravenous infusion of 1,500 mL of lactated Ringer's solution
The nurse knows that the purpose of this treatment regime is to a. prevent dehydration, which may result from side effects of nausea and vomiting
b. restore fluid electrolyte imbalance that has occurred during the labor process
c. increase fetal heart rate variability prior to administering an anesthetic
d. increase maternal blood volume to prevent hypotension
D
Maternal hypotension is the most common adverse effect associated with epidural analgesia and can be prevented by fluid bolus prior to administration.
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Even with health care programs such as Medicare and Medicaid, the poor and near-poor elderly populations are negatively impacted by out-of-pocket health care expenses
How much of the income of this population is spent on out-of-pocket health care expenses? A) 38% B) 33% C) 28% D) 23%
Compelling indications for an ACE inhibitor as treatment for hypertension based on clinical trials includes:
1. Pregnancy 2. Renal parenchymal disease 3. Stable angina 4. Dyslipidemia
During a morning assessment, the nurse observes that the patient displays significant edema of both feet and ankles. Which statement best documents these findings?
a. Pitting edema present in both feet and an-kles b. Edema in both feet and ankles approx-imately 4 mm deep c. 4 mm pitting edema quickly resolving d. Bilateral pitting edema in feet and ankles, 4 mm deep, resolving in 3 seconds
A primary care NP recommends an over-the-counter medication for a patient who has acid reflux. When teaching the patient about this drug, the NP should tell the patient:
a. to take the dose recommended by the manufacturer. b. not to worry about taking this drug with any other medications. c. to avoid taking other drugs that cause sedation while taking this drug. d. that over-the-counter acid reflux medications are generally safe to take with other medications.