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    ATI Capstone Maternal Newborn Proctored Exam

    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 typically linked to epidural anesthesia but may indicate unrelated issues like diabetes or diuresis. Its absence or presence does not reflect epidural complications.Choice B rationaleHypertension is not common with epidural anesthesia, as this procedure often induces hypotension by vasodilation from sympathetic blockade, requiring blood pressure monitoring.Choice C rationalePruritus is a frequent side effect of epidural anesthesia, particularly when using opioids like fentanyl, due to histamine release or opioid receptors activation in the spinal cord.Choice D rationaleDry mouth is not a primary effect of epidural anesthesia but could result from dehydration or systemic medication effects unrelated to epidural administration.

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