A client in labor who is receiving a continuous infusion of a local anesthetic through an epidural catheter asks if ear ringing is supposed to occur. What is the most likely cause of the client's complaint?
1. Dehydration
2. Hypotension
3. Allergic reaction
4. Local anesthetic toxicity
Question 2
A client in labor who is requesting an epidural asks if the baby will be harmed. How should the nurse respond?
1. Epidural anesthesia is very safe and there are no potential side effects that can affect your baby.
2. We'll monitor your baby continuously so we can recognize and treat any changes that may be related to the epidural.
3. We'll assess your blood pressure every 15 minutes to make sure the epidural is not having any negative effects on your baby.
4. Before your epidural is placed, we'll administer IV fluid to you in order to prevent the epidural from causing you problems.
Recommended Maximum Doses of Local Anesthetics with Vasoconstrictor
A hot stone placed under the client’s neck.
Position the client
Approaching the client for the ophthalmoscopic exam
Continuous Variation in Height (Females)