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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 A

Explanation

Choice A rationale

Retained placental fragments are a significant risk factor for postpartum hemorrhage. If parts of the placenta remain attached to the uterine wall, it can prevent the uterus from contracting properly, leading to excessive bleeding.

Choice B rationale

Breech presentation is not a direct risk factor for postpartum hemorrhage. While it can complicate delivery, it does not directly cause hemorrhage.

Choice C rationale

Urinary tract infection is not a risk factor for postpartum hemorrhage. It can cause other complications but does not directly lead to hemorrhage.

Choice D rationale

Oligohydramnios, or low amniotic fluid, is not a risk factor for postpartum hemorrhage. It can cause complications during pregnancy but does not directly lead to hemorrhage.

Correct Answer is A

Explanation

Choice A rationale

A positive Babinski reflex is characterized by the fanning out of the toes and the upward movement of the big toe when the sole of the foot is stroked. This reflex is normal in infants up to 2 years old and indicates an immature central nervous system. The presence of this reflex in older children or adults can indicate neurological issues.

Choice B rationale

Curling in of the toes when the sole of the foot is stroked is indicative of the plantar grasp reflex, not the Babinski reflex. The plantar grasp reflex is a different neurological response and does not indicate the same neurological development as the Babinski reflex.

Choice C rationale

No response when the sole of the foot is stroked could indicate a lack of neurological response or an issue with the sensory or motor pathways. This is not characteristic of a positive Babinski reflex and could be a sign of neurological impairment.

Choice D rationale

The big toe bending down when the sole of the foot is stroked is a normal response in older children and adults, known as the plantar reflex. This response indicates a mature central nervous system and is not characteristic of a positive Babinski reflex in infants.

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