Practice Question
A nurse is assisting with the care of a client who is receiving epidural anesthesia for pain management during labor. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Monitor the client's blood pressure.
Rationale:
🟣 Epidural anesthesia can cause vasodilation and hypotension due to sympathetic nerve blockade.
🟣 The nurse must monitor blood pressure frequently to detect and respond to hypotension early.
🟣 Untreated hypotension can reduce placental perfusion, posing risk to both mother and fetus.
🟣 Routine vital signs assessment is part of standard safety care with epidural analgesia.
🟣 The nurse must also be prepared to administer IV fluids or medications if hypotension occurs.
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This question is from RN ATI Nursing Care of Children Assessment which contains 52 questions.
More Questions from This Exam
A nurse is reinforcing teaching with a client who is postpartum and is taking docusate sodium to prevent constipation. Which of the following instructions should the nurse include?
Answer Choices:
A. Take this medication every day for regular bowel movements.
B. Take the medication with mineral oil.
C. Decrease dietary fiber intake while taking this medication.
D. Take the medication with a full glass of water.
A nurse is caring for a 9-year-old client who is immediately postoperative. The client is nonverbal and has both cognitive and developmental delays. Which of the following pain scales should the nurse use to evaluate the clients pain?
Answer Choices:
A. FACES Scale.
B. Numerical scale.
C. FLACC pain assessment scale.
D. Visual analog scale.
A nurse is reinforcing teaching with a parent of a school-age child who has tonic-clonic seizures. Which of the following statements should the nurse make regarding care during a seizure?
Answer Choices:
A. You should otter your child sips of clear liquids.
B. You should gently restrain your child using both of your arms.
C. You should place your child's head on a pillow.
D. You should give rectal diazepam to your child at the onset of the seizure.
A nurse is collecting data from an infant who has Hirschsprung's disease. Which of the following manifestations should the nurse expect?
Answer Choices:
A. Abdominal distention.
B. Steatorrhea.
C. Blood-tinged emesis.
D. Dysphagia.
A nurse is collecting data from an adolescent who is postoperative and is receiving morphine for pain. Which of the following findings is the nurses priority?
Answer Choices:
A. Respiratory rate 10/min.
B. Bladder distention.
C. BP 108/64 mm Hg.
D. Nausea and vomiting.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4