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A nurse is collecting data from a client who is receiving epidural anesthesia.Which of the following findings indicates an adverse effect of this method of pain management?

A.

Hypertension.

B.

Tachypnea.

C.

Tachycardia.

D.

Fever.

Answer and Explanation

The Correct Answer is D

Choice A rationale

 

Hypertension is not a common adverse effect of epidural anesthesia. In fact, epidurals can cause hypotension due to the blockade of sympathetic nerves.

 

Choice B rationale

 

Tachypnea is not typically associated with epidural anesthesia. Common side effects include low blood pressure and headache.

 

Choice C rationale

 

Tachycardia is not a common adverse effect of epidural anesthesia. More common side effects include low blood pressure and urinary retention.

 

Choice D rationale

 

Fever is a known adverse effect of epidural anesthesia. It can occur due to the body’s response to the epidural procedure.


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View Related questions

Correct Answer is B

Explanation

Choice A rationale

Limiting the client’s daily fluid intake is not recommended. Adequate hydration is important for clients with mastitis to help clear the infection and maintain milk supply.

Choice B rationale

Encouraging the client to continue to breastfeed is recommended. Breastfeeding helps to empty the breasts and reduce milk stasis, which can alleviate symptoms of mastitis.

Choice C rationale

Preparing the client for an abdominal sonogram is not relevant to the management of mastitis. Mastitis is typically diagnosed based on clinical symptoms and physical examination.

Choice D rationale

Encouraging the client to wear a bra that is loose fitting is not recommended. A well-fitting, supportive bra can help to reduce discomfort and support the breasts during mastitis.

Correct Answer is D

Explanation

Choice A rationale

Diuresis, or increased urine production, is not a common adverse effect of nalbuphine hydrochloride. This medication is an opioid analgesic used for pain relief during labor.

Choice B rationale

Fever is not a typical adverse effect of nalbuphine hydrochloride. Fever may indicate an infection or other underlying condition that needs to be addressed separately.

Choice C rationale

Diarrhea is not a common adverse effect of nalbuphine hydrochloride. Opioids, including nalbuphine, are more likely to cause constipation rather than diarrhea.

Choice D rationale

Sedation is a known adverse effect of nalbuphine hydrochloride. As an opioid analgesic, it can cause drowsiness and sedation, which is important to monitor in laboring clients to ensure their safety and well-being.

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