A nurse is planning care for a client who is scheduled for a cesarean birth. Which of the following interventions should the nurse include in the plan of care?
Insert an indwelling urinary catheter immediately following the procedure.
Apply sequential compression devices prior to the procedure.
Perform a surgical timeout while the client is in the preoperative holding area.
Initiate oxytocin via continuous IV infusion prior to the procedure.
The Correct Answer is B
A. An indwelling urinary catheter is typically inserted before surgery, not immediately after, to keep the bladder empty during the procedure.
B. Applying sequential compression devices prior to the procedure is a key intervention to prevent deep vein thrombosis, which is a high-risk complication for clients undergoing cesarean birth.
C. Performing a surgical timeout is important but is a standard surgical protocol rather than a nursing-specific intervention for cesarean birth preparation.
D. Oxytocin is administered after delivery of the placenta to promote uterine contraction and prevent postpartum hemorrhage, not before surgery.
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Related Questions
Correct Answer is C
Explanation
A. The car seat should remain rear-facing until at least age 2, or until the child reaches the maximum height and weight limit specified by the manufacturer, not just until 12 months.
B. The retainer (chest) clip should be positioned at the level of the infant's armpits, not the abdomen, to ensure proper restraint.
C. Positioning the car seat at a 45° angle helps keep the infant’s airway open and reduces the risk of aspiration or airway obstruction.
D. For rear-facing seats, the harness straps should be at or below the baby's shoulders, not above.
Correct Answer is ["0.25"]
Explanation
Desired dose = 50 mcg
Available = 200 mcg per tablet
Number of tablets = Desired dose ÷ Available dose
= 50 ÷ 200
= 0.25 tablets
Answer: 0.25 tablets
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