The charge nurse is reviewing the plans of care for four clients in labor. Which care plan requires additional information before implementing?
1. Administration of a spinal anesthetic to a client who is scheduled for a vaginal delivery
2. Administration of a spinal anesthetic to a client with a history of irritable bowel syndrome (IBS)
3. Administration of epidural anesthesia to a client who is in the first stage of labor and has a shellfish allergy
4. Administration of epidural anesthesia to a client with a history of vomiting secondary to hyperemesis gravidarum
4
Explanation:
1. Spinal anesthetics may be used to provide anesthesia for cesarean birth and occasionally for vaginal birth.
2. Spinal anesthesia is not contraindicated for irritable bowel syndrome (IBS).
3. A lumbar epidural relieves pain associated with the first and second stages of labor. An allergy to shellfish is not a contraindication to epidural anesthesia.
4. Contraindications to epidural anesthesia include severe hypovolemia of any etiology. The client with hyperemesis gravidarum should be evaluated for severity of dehydration prior to administration of epidural anesthesia.
You might also like to view...
The nurse is providing nutrition information to the mother of a 1-year-old child. Which of these statements represents accurate information for this age group?
a. Maintaining adequate fat and caloric intake is important for a child in this age group. b. The recommended dietary allowances for an infant are the same as for an adolescent. c. The baby's growth is minimal at this age; therefore, caloric requirements are decreased. d. The baby should be placed on skim milk to decrease the risk of coronary artery disease when he or she grows older.
A patient is being admitted to the preoperative holding area for a thoracotomy. Preoperative teaching includes what?
A) Correct use of a ventilator B) Correct use of incentive spirometry C) Correct use of a mini-nebulizer D) Correct technique for rhythmic breathing
Which of these statements about acute lymphocytic leukemia (ALL) is TRUE?
a. It occurs primarily in adolescence and after age 55. b. It is usually fatal, regardless of treatment. c. It occurs primarily in children under age 15. d. It can be cured with stem cell transplantation.
The nurse would recognize that the trend in the lipid levels of a client with diabetes follows the pattern that accompanies macrovascular disease, which is
a. decreased low-density lipoproteins. b. decreased very-low-density lipoproteins. c. increased high-density lipoproteins. d. increased triglyceride levels.