Two hours after an epidural infusion has begun, a client complains of itching on her face and neck. What should the nurse do?
1. Remove the epidural catheter and apply a Band-Aid to the injection site.
2. Offer the client a cool cloth and let her know the itching is temporary.
3. Recognize that this is a common side effect, and follow protocol for administration of Benadryl.
4. Call the anesthesia care provider to re-dose the epidural catheter.
3
Explanation: 3. Itching is a side effect of the medication used for an epidural infusion. Benadryl, an antihistamine, can be administered to manage pruritus.
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Fill in the blank(s) with correct word
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1. Anxiety 2. Noncompliance 3. Deficient knowledge 4. Ineffective health maintenance
A pregnant client at 14 weeks' gestation is diagnosed with hyperemesis gravidarum. The most recent vital signs are: blood pressure 95/48, pulse 114, respirations 24. Which order should the nurse implement first?
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