Which nursing action 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 oral fluids only to prevent hypotension
3. Assisting the client to empty the bladder before the anesthesia is started
4. Use of intermittent fetal heart rate (FHR) monitoring so the client can use the birthing ball
5. Monitoring the fetal heart rate (FHR) for late deceleration and decrease in rate
1, 3, 5
Explanation:
1. Hypotension can be prevented by preloading with rapid IV infusion followed by continuous IV infusion.
2. Hypotension can be prevented by preloading with rapid IV infusion followed by continuous IV infusion. The amount of oral fluids that would be required to prevent hypotension makes this approach inappropriate for the client in labor.
3. The epidural decreases the urge to urinate. The client's bladder should be assessed frequently for distention.
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.
5. 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.
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