A patient receives an epidural anesthetic during labor and delivery. The nurse caring for the newborn in the immediate postpartum period will observe the infant for:
a. bradycardia.
b. hypoglycemia.
c. jitteriness.
d. tachypnea.
A
Local anesthetics can cross the placenta, causing bradycardia and central nervous system (CNS) depression in the infant. They do not affect blood glucose. Jitteriness is a sign of CNS excitation. Increased respirations are not an adverse effect in the newborn.
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A level III disaster has occurred and the hospital is receiving clients by ambulance and those who have walked in to the emergency department
The wife of a man who is critically injured screams, "Why doesn't someone do something for my husband? He is dying!" How should the nurse manager respond? 1. "Ma'am, you should not be back here. You will have to leave." 2. "I'm so sorry, but your husband's injuries are very severe. We have to take care of the others first." 3. "Is there someone who can stay with this woman? She is distraught." 4. "He doesn't pass the triage screen for someone we can save."
The nurse selects the nursing diagnosis of Enhanced readiness for spiritual well-being for a family. Which data cluster did the nurse use to support this diagnosis?
1. The family visits different congregations, the parents have been reflecting on their own spiritual upbringings, and the children are questioning rituals of their friends and friends' families. 2. The children attend Sunday school classes, one parent always attends services with the children, and the parents attempt interaction with congregational activities. 3. The grandparents go to weekly services and have formal interaction with clergy. 4. The children have attended private, religious schools, and the parents are involved in the school's activities.
A client is receiving methadone maintenance therapy. After teaching the client about this treatment, the nurse determines that the education was successful when the client states which of the following?
A) "I can have a glass of wine with dinner if I choose." B) "I should eat small frequent meals if I get nauseated." C) "I should take the drug on an empty stomach." D) "I might experience diarrhea with this drug."
When does a nurse use transillumination of the scrotum?
a. When the client has tortuosity of the veins along the spermatic cord b. When the client has an indirect hernia c. When there is a cystic mass filled with seminal fluid in the epididymis d. When there is twisting of the testicle and spermatic cord