When caring for a laboring client with epidural analgesia, the nurse should be alert for which complication?
a. Hypotension c. Hyperemia
b. Hypervolemia d. Hyponatremia
A
Hypotension is the primary complication associated with epidural analgesia and can lead to maternal hypoperfusion, with resulting maternal and fetal distress. Hypervolemia, hyperemia, and hyponatremia are not complications associated with epidural analgesia.
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While conducting the review of systems (ROS), the nurse asks the patient if he has experienced headaches, loss of memory, incoordination, or weakness. In which section of the ROS would this information be recorded?
a. psychological c. cardiovascular b. endocrine d. neurological
A nurse is preparing to administer low-molecular-weight heparin (LMWH). What is a major advantage related to the administration of LMWH?
a. It can be given orally. b. It is provided fixed doses. c. It is given only after partial thromboplastin time (PTT) laboratory work. d. It provides an immediate effect.
You are the nursing supervisor on the 11 P.M. to 7 A.M. shift. When making rounds, the charge nurse on the unit reports that one of the patients is dyspneic
What action would be expected from a nurse in the expertise stage of clinical competence when assessing shortness of breath in a patient? a. Recognizes the patient may have pulmonary edema and orders (or asks the physician for an order) an IVP diuretic b. Places a patient complaining of shortness of breath in high-Fowler's position after hearing coarse crackles and rhonchi and obtaining a pulse oxygenation of 88% c. Increases the oxygen concentration d. Notifies the instructor of the patient's complaints
The nurse should teach the adolescent that the long-term effects of tanning can cause which conditions? (Select all that apply.)
a. Phototoxic reactions b. Increased number of moles c. Premature aging d. Striae e. Increased risk of skin cancer