The postpartum nurse is caring for a client with an epidural ...

[aabwk4]

The postpartum nurse is caring for a client with an epidural catheter in place for opioid analgesic administration following cesarean birth.
 
  If the client develops respiratory depression and requires naloxone (Narcan) as an antidote, the client may complain of which of the following? 1. Increase in her pain level
  2. Decrease in her pain level
  3. Increase in the amount of itching from the opioid used in the epidural
  4. Decrease in the amount of itching from the opioid used in the epidural

Question 2

The nurse provides instructions to the parents of an infant with hip dysplasia regarding care of the Pavlik harness. Which of the following statements, if made by one of the parents, indicates an understanding of the use of the harness?
 
  1. I can remove the harness to bathe my infant.
  2. I need to remove the harness to feed my infant.
  3. I need to remove the harness to change the diaper.
  4. My infant needs to remain in the harness at all times.

[meganlapinski]

Answer to Question 1

1

Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid antagonist, which reverses the effects of opioids. If it is given, the client may complain of an increase in her pain level. Therefore decrease in her pain level, increase in the amount of itching from the opioid used in the epidural, and decrease in the amount of itching from the opioid used in the epidural are incorrect.

Answer to Question 2

1

Rationale: The harness should be worn 23 hours a day and should be removed only to check the skin and for bathing. The hips and buttocks should be supported carefully when the infant is out of the harness. The harness does not need to be removed for diaper changes or feedings. My infant needs to remain in the harness at all times. is incorrect.