Question 1

The nurse is reviewing the procedure for a continuous lumbar epidural block with a patient in the 3^rd trimester of pregnancy. When reviewing this information what does the following diagram demonstrate to the patient?

Accepted Answer

The answer of The nurse is reviewing the procedure for...

Question 2

A patient is having the following anesthesia provided. What is the purpose of this type of anesthesia?

Accepted Answer

The answer of A patient is having the following anesthesia...

Question 3

A patient in labor is being prepared for an epidural. Where should the nurse indicate the location of the epidural space on the diagram below?

Accepted Answer

The answer of A patient in labor is being prepared...

Question 4

A patient is labor is prescribed to receive nalbuphine 10 m g/70 k g intravenously now. The patient weighs 198 l b s. How many m g of medication should the nurse provide this patient? (Round to the nearest tenth decimal point.)

Accepted Answer

The answer of A patient is labor is prescribed to...

Question 5

The client at 39 weeks' gestation is undergoing a cesarean birth due to breech presentation. General anesthesia is being used. Which situation requires immediate intervention?

Accepted Answer

A fetal heart rate of 70 beats per minute is significantly lower than the normal range of 110 to 160 beats per minute, indicating fetal distress which requires immediate intervention to prevent adverse outcomes.

Question 6

The nurse is caring for a laboring client with thrombocytopenia. During labor, it is determined that the client requires a cesarean delivery. The nurse is preparing the client for surgery, and should instruct the client that the recommended method of anesthesia is which of the following?

Accepted Answer

General anesthesia is recommended for clients with thrombocytopenia undergoing cesarean delivery because epidural or spinal anesthesia could lead to bleeding in the epidural or subarachnoid space due to the client's low platelet count, which could cause serious complications.

Question 7

The nurse is preparing to instruct a patient in the third trimester of pregnancy on various methods to control pain during labor, and selects the following diagram. For which type of pain control is the nurse planning to instruct the client?

Accepted Answer

The answer of The nurse is preparing to instruct a...

Question 8

The nurse is inducing the labor of a client with severe preeclampsia. As labor progresses, fetal intolerance of labor develops. The induction medication is turned off, and the client is prepared for cesarean birth. Which statement should the nurse include in her preoperative teaching?

Accepted Answer

Clients with preeclampsia are at an increased risk for hypotension following epidural anesthesia due to the vasodilatory effects of the anesthesia on blood vessels, which can exacerbate the already compromised cardiovascular status associated with preeclampsia.

Question 9

The client with a normal pregnancy had an emergency cesarean birth under general anesthesia 2 hours ago. The client now has a respiratory rate of 30, pale blue nail beds, a pulse rate of 110, and a temperature of 102.6°F, and is complaining of chest pain. The nurse understands that the client most likely is experiencing which of the following?

Accepted Answer

The answer of The client with a normal pregnancy had...

Question 10

The nurse is performing an assessment on a client admitted to the birthing unit. Which assessment finding(s) contraindicate(s) an epidural block?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Maternal refusal is a contraindication because the procedure requires consent. A local infection at the site of injection increases the risk of spreading the infection. A coagulation disorder poses a risk of bleeding complications with an epidural.

Question 11

The nurse is providing preoperative teaching to a client for whom a cesarean birth under general anesthesia is scheduled for the next day. Which statement by the client indicates that she requires additional information?

Accepted Answer

General anesthesia provides unconsciousness during the procedure but does not specifically address postoperative pain relief. Pain management after the birth requires additional medications or interventions.

Question 12

A cesarean section is ordered for a pregnant client. Because the client is to receive general anesthesia, what is the primary danger with which the nurse is concerned?

Accepted Answer

General anesthesia can cross the placenta and cause fetal depression, which is a primary concern when administering general anesthesia to a pregnant client undergoing a cesarean section.

Question 13

A cesarean section is ordered for the laboring client with whom the nurse has worked all shift. The client will receive general anesthesia. The nurse knows that potential complications of general anesthesia include which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

General anesthesia can lead to fetal depression, which is directly related to the depth and duration of the anesthesia. Preterm infants have a poor ability to metabolize anesthesia, making its use more complicated in these cases. Additionally, general anesthesia can cause uterine relaxation, which might affect the delivery process. Increased gastric motility and itching of the face and neck are not typically associated with general anesthesia; instead, increased gastric motility is incorrect because general anesthesia actually decreases gastric motility, and itching is more commonly associated with specific types of medication, such as opioids, rather than general anesthesia itself.

Quiz 22: Pharmacologic Pain Management

The nurse is reviewing the procedure for a continuous lumbar epidural block with a patient in the 3rd trimester of pregnancy. When reviewing this information what does the following diagram demonstrate to the patient?