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    ATI Maternal Newborn Proctored Exam II

    A nurse is caring for a client who is in labor and has an epidural for pain control.Which of the following clinical manifestations is an adverse effect of epidural anesthesia?

    Explanation & Rationale

    Choice A rationalePolyuria is not an adverse effect of epidural anesthesia. Epidural anesthesia does not impact the renal system to cause increased urination but instead focuses on blocking pain transmission.Choice B rationaleHypertension is not an adverse effect of epidural anesthesia. Epidural anesthesia can cause hypotension due to vasodilation and sympathetic nervous system blockade rather than increasing blood pressure.Choice C rationalePruritus is a known adverse effect of epidural anesthesia, often linked to opioid use in the epidural mixture, causing histamine release and peripheral nerve stimulation, which may lead to itching sensations.Choice D rationaleDry mouth is not an adverse effect of epidural anesthesia. Dry mouth typically results from systemic dehydration or anticholinergic medications, which are not directly related to the epidural process.

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