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A client is to have an epidural block to relieve labor pain.
The nurse anticipates that the anesthesiologist will inject
the anesthetic agent into the:
1. subarachnoid space.
2. area between the subarachnoid space and the dura
mater.
3. area between the dura mater and the ligamentum
flavum.
4. ligamentum flavum. - Answers-Correct Answer: 3
RATIONALES: For an epidural block, the nurse should
anticipate that the anesthesiologist will inject a local
anesthetic agent into the epidural space, located between
the dura mater and the ligamentum flavum in the lumbar
region of the spinal column. When administering a spinal
block, the anesthesiologist injects the anesthetic agent
into the subarachnoid space. The ligamentum flavum and
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the area between the subarachnoid space and the dura
mater are inappropriate injection sites.
As an adolescent is receiving care, he's inadvertently
injured with a warm compress. The nurse completes an
incident report based on the knowledge that identification
of which of the following is a goal of the report?
1. To reprimand the involved staff members for their
actions
2. To identify the learning needs of staff to prevent incident
recurrences
3. To reprimand the nurse-manager responsible for the
unit
4. To hold people accountable for their actions - Answers-
Correct Answer: 2
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RATIONALES: The purpose of an incident report is
threefold: to identify ways to prevent incident recurrences,
to identify patterns of care problems, and to identify facts
surrounding each incident. Incident reports aren't used to
hold people accountable for their actions, to punish those
involved in the incident, or to punish the nurse-manager
responsible for the unit.
As a client progresses through pregnancy, she develops
constipation. What is the primary cause of this problem
during pregnancy?
1. Decreased appetite
2. Inadequate fluid intake
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3. Prolonged gastric emptying
4. Reduced intestinal motility - Answers-Correct Answer: 4
RATIONALES: During pregnancy, hormonal changes and
mechanical pressure reduce motility in the small intestine,
enhancing water absorption and promoting constipation.
Although decreased appetite, inadequate fluid intake, and
prolonged gastric emptying may contribute to constipation,
they aren't the primary cause.
The nurse is performing a baseline assessment of a
client's skin integrity. Which of the following is a key
assessment parameter?
1. Family history of pressure ulcers