A client in labor received an epidural anesthetic when her dilation reached 5 cm. Which of the following nursing diagnoses would have the highest priority for her at this time
A．Impaired skin integrity related to inability to move lower extremities.
B．Impaired urinary elimination related to the effects of the epidural.
C．Deficient knowledge related to lack of information about regional anesthesia.
D．Risk for injury related to hypotension secondary to vasodilation and pooling in extremities.
参考答案：D
解析：The highest priority of care for the client receiving an epidural anesthetic is monitoring blood pressure and preventing hypotension, which is a frequent complication of regional anesthesia. IV fluids are given before the epidural agent to increase blood volume and cardiac output and to minimize hypotension.