The nurse is caring for a client experiencing labor. Which type of anesthesia is MOST likely to be used?
a. epidural or spinal block c. local anesthesia
b. general anesthesia d. nerve block
A
In an epidural block, a local anesthetic is injected into the epidural space to simultaneously anesthetize a number of spinal nerves. In a spinal block (subarachnoid block), a local anesthetic is injected into the cerebrospinal fluid. Epidural and spinal blocks are used to anesthetize a large area of the body, such as the abdomen, pelvis, perineum, or lower extremities. Epidural anesthesia can be used for surgical procedures, during labor, and for postoperative pain relief.
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A 58-year-old client has been admitted to CCU with a myocardial infarction. The client suddenly goes into cardiac arrest and team members rush into the room. What type of nurse leadership style would be best in this situation?
1. Autocratic 2. Democratic 3. Laissez-faire 4. Bureaucratic
When taking the blood pressure of a client after a parathyroidectomy, the nurse notes that the client's hand has gone into flexion contractions. What is the nurse's interpretation of this ob-servation?
A. Hypokalemia B. Hyperkalemia C. Hyponatremia D. Hypocalcemia
The nurse is educating an 80-year-old patient regarding a newly prescribed medication. The nurse's teaching strategies include which of the following? (Select all that apply.)
a. Using pictures to show how the medica-tion should be stored b. Asking the patient to use his own words to describe the medication's possible side effects c. Avoiding written instruction in favor of verbal, face-to-face communication d. Delivering the information using a slow, deliberate manner of speech e. Repeating the information at least three times during the conversation
A nurse is working in a neonatal intensive care unit, teaching parents how to care for their newborns while they are still in the hospital. Which statement by a parent reflects a readiness to learn?
1. "I'm so afraid I'll hurt my baby with all these tubes.". 2. "I want to make sure my spouse is here, in case I don't hear everything that's said.". 3. "If my baby is just a little bigger, I'll feel more comfortably handling him.". 4. "You'll give us written instructions before we go home, correct?"