RN Maternal Nursing OB Newborn 2023 2024 Exam Related

Review RN Maternal Nursing OB Newborn 2023 2024 Exam related questions and content

A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The nurse should monitor for which of the following findings as an adverse effect of the medication?

  • A. Hyperglycemia
  • B. Bilateral crackles
  • C. Hypotension
  • D. Polyuria
Correct Answer: C

Rationale: Correct Answer: C - Hypotension

Rationale: Opioid analgesics can cause hypotension as a side effect by vasodilation and reduced cardiac output. The epidural route can further exacerbate this effect due to the potential spread of the medication to sympathetic nerves, resulting in vasodilation and decreased blood pressure. Monitoring for hypotension is crucial to prevent complications such as decreased tissue perfusion and potential cardiovascular collapse.

Incorrect Choices:
A: Hyperglycemia - Opioids do not typically cause hyperglycemia.
B: Bilateral crackles - Crackles are not a common adverse effect of opioids.
D: Polyuria - Opioids do not usually cause polyuria.