A nurse is positioning a client for a cesarean birth. To prevent a compromise in placental blood flow during the intraoperative period, which of the following actions should the nurse take?

Insert a pillow under the client's knees.

Assist the client into the lithotomy position,

Place a wedge under one of the client's hips.

Position the client in reverse Trendelenburg.

Answer and Explanation

The Correct Answer is C

A) Insert a pillow under the client's knees: While placing a pillow under the knees may promote comfort, it can lead to increased pressure on the lower back and may not effectively address potential compression of the vena cava, which is crucial in maintaining optimal placental blood flow during surgery.

B) Assist the client into the lithotomy position: The lithotomy position can increase pressure on the abdominal vessels, potentially compromising blood flow to the placenta. This position should be used cautiously, especially in clients with concerns regarding blood flow.

C) Place a wedge under one of the client's hips: This action is appropriate as it helps to displace the uterus laterally, reducing pressure on the inferior vena cava. This maneuver improves venous return and maintains placental perfusion, which is critical during cesarean delivery.

D) Position the client in reverse Trendelenburg: Although this position elevates the upper body, it does not specifically address the potential for vena cava compression caused by the weight of the uterus. It is less effective than placing a wedge under the hips in terms of preserving placental blood flow.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A) Avoid eye contact with the client: Avoiding eye contact can create a sense of distance and may not promote a therapeutic relationship. Establishing appropriate eye contact can help convey attentiveness and support, even in clients experiencing hallucinations.

B) Encourage the client to lie down in a quiet room: While a quiet environment can be calming, simply lying down may not effectively address the hallucinations. Active engagement and coping strategies are often needed to help the client manage their symptoms.

C) Ask the client directly what he is hearing: This action is appropriate and therapeutic. By asking the client about their auditory hallucinations, the nurse validates the client’s experience and can help guide the conversation to better understand their perceptions and needs. This can also assist in developing coping strategies.

D) Refer to the hallucinations as if they are real: Acknowledging hallucinations as real can reinforce the delusional experience rather than helping the client to cope with or understand their symptoms. It is essential to approach the subject sensitively while maintaining a focus on reality, promoting safety and support.

A. Limit intake of nuts and legumes. B. Choose foods high in vitamin B12- C. Choose high-fat cheese as a meat substitute. D. Limit intake of foods high in vitamin C.

Correct Answer is B

Explanation

A) Limit intake of nuts and legumes: This is incorrect. Nuts and legumes are essential components of a vegan diet, providing important protein, healthy fats, and other nutrients. They should not be limited.

B) Choose foods high in vitamin B12: This is the correct answer. Vitamin B12 is primarily found in animal products, so vegans must seek fortified foods (such as plant-based milks and cereals) or consider supplements to meet their B12 needs, as deficiency can lead to serious health issues.

C) Choose high-fat cheese as a meat substitute: This is misleading. Vegans do not consume cheese, as it is an animal product. Instead, they should look for plant-based alternatives to meet their dietary needs.

D) Limit intake of foods high in vitamin C: This is incorrect. Foods high in vitamin C, such as fruits and vegetables, are encouraged in a vegan diet for overall health and to support the immune system. There is no reason to limit these foods.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is positioning a client for a cesarean birth. To prevent a compromise in placental blood flow during the intraoperative period, which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is developing a plan of care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse include in the plan?

Correct Answer is C

Explanation

A nurse is teaching a client who plans to begin following vegan dietary guidelines. Which of the following information should the nurse include?

Correct Answer is B

Explanation

A nurse is planning care for a preschool-age child who is in the acute phase of Kawasaki disease. Which of the following interventions should the nurse include in the plan of care?

A nurse is providing teaching to an older adult client who has a seizure disorder and a new prescription for phenytoin. Which of the following instructions should the nurse include?

A nurse is caring for a client whose partner died in a fire that destroyed their home. Which of the following actions should the nurse take first?

A home health nurse is assessing a client who has amyotrophic lateral sclerosis (ALS) and has had recent weight loss. Which of the following is the priority admission data for the nurse to obtain?

A nurse is preparing to perform a sterile dressing change. Which of the following actions should the nurse take when setting up the sterile field?

A nurse is caring for a client who has vision loss. Which of the following actions should the nurse take? (Select all that apply.)

A nurse on a medical-surgical unit is planning care for assigned clients. Which of the following actions should the nurse plan to take to demonstrate effective time management of the clients?

A nurse is providing teaching to a client who has a new diagnosis of multiple sclerosis. Which of the following statements should the nurse make?