Which of the following nursing actions can prevent or detect common side effects of epidural anesthesia? Select all that apply
1. Preloading the client with a rapid infusion of IV fluids
2. Continuing the client on p.o. fluids only to prevent hypotension
3. Monitoring the FHR for late deceleration and decrease in rate
4. Use of intermittent FHR monitoring so the client can use the birthing ball
1, 3
Rationale:
1. Hypotension can be prevented by preloading with rapid IV infusion followed by continuous IV infusion. Variability of FHR and late decelerations can occur if maternal hypotension occurs. Continuing FHR monitoring is essential.
2. Hypotension can be prevented by preloading with rapid IV infusion followed by continuous IV infusion. Variability of FHR and late decelerations can occur if maternal hypotension occurs. Continuing FHR monitoring is essential.
3. Hypotension can be prevented by preloading with rapid IV infusion followed by continuous IV infusion. Variability of FHR and late decelerations can occur if maternal hypotension occurs. Continuing FHR monitoring is essential.
4. Hypotension can be prevented by preloading with rapid IV infusion followed by continuous IV infusion. Variability of FHR and late decelerations can occur if maternal hypotension occurs. Continuing FHR monitoring is essential.
You might also like to view...
After the death of his wife, a man tells the nurse "I can never live without her. She was my whole
life.". The most therapeutic reply for the nurse to make is a. "Remember, she is no longer suffering.". b. "Her death is a terrible loss for you.". c. "Each day will get a little better.". d. "Your friends will help you cope with this.".
Self-care teaching for a client with hypercalcemia should include
a. administering antidiarrheal medications. b. decreasing sodium and calcium intake. c. encouraging foods that increase urine acidity. d. restricting fluid intake to less than 1 liter a day.
Which of the following is true concerning BP?
A) Arm pressures are higher than leg pressures. B) A difference of less than 5 to 10mm Hg between the arms is considered normal. C) Orthostatic hypotension is an elevation of 10 mm Hg. D) A contracted arm muscle will result in a distorted low systolic pressure.
The nurse has instructed an overweight client to follow a 2,000-calorie diet by substituting foods considered low in calories for those higher in calories. How should the client interpret the food label to decide if a food is low in calories?
1. The product label will state "lighter" or "reduced calories." 2. The Nutrition Facts label will have the letter "L" located in the lower right corner. 3. Nutritional labeling on the product will indicate less than 40 calories per serving. 4. The product will contain no more than 11% fat.