Problem: A 29-year-old female client in labor has just received epidural anesthesia. Before the procedure her blood pressure was 120/78 and her pulse was 60 bpm. Now her blood pressure is 100/60 and her pulse is 80 bpm. She reports a metallic taste in her mouth, hears a ringing in her ears, and appears confused. What is this client most likely experiencing? Anxiety related to administration of an epidural A normal adverse effect of local anesthesia Systemic toxicity from local anesthesia Signs of preeclampsia