Practice Question
A nurse is assisting with the care of a client who is in labor and has an epidural infusion for pain management. The client's blood pressure is 80/40 mm Hg. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Give a bolus of lactated Ringer's.
Rationale:
🔷 Hypotension is a common adverse effect of epidural anesthesia due to vasodilation and decreased venous return.
🔷 Administering a bolus of lactated Ringer’s increases intravascular volume and helps to rapidly restore blood pressure.
🔷 Prompt correction of low blood pressure is essential to maintain placental perfusion and fetal oxygenation.
🔷 Other actions (like changing position or emptying the bladder) are secondary and do not directly or immediately address acute hypotension.
🔷 Volume expansion is the first-line intervention for epidural-induced hypotension.
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This question is from ATI LPN Maternal Newborn-2021 which contains 57 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Maternal & Newborn Care
- Answer Choices: 4