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.

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Correct Answer is D

Explanation

A) Sims': This position is not ideal for clients with increased intracranial pressure (ICP) because it does not promote optimal venous drainage from the brain.

B) Left lateral: While side-lying positions may be comfortable, they are not recommended for clients with increased ICP as they can hinder venous return from the head and neck.

C) Supine: Lying flat can increase ICP due to decreased venous drainage. It is generally not recommended for managing elevated ICP.

D) Low-Fowler's: This is the correct answer. Positioning the client in a Low-Fowler's position (typically with the head elevated 30 degrees) promotes venous drainage from the brain, which can help lower intracranial pressure and improve cerebral perfusion.

A. "You must be at least 21 years of age to become an organ donor."" B. "Your name cannot be removed once you are listed on the organ donor list." C. "Your desire to be an organ donor must be documented in writing." D. "I cannot be a witness for your consent to donate."

Correct Answer is C

Explanation

A) "You must be at least 21 years of age to become an organ donor.": This is inaccurate. Individuals as young as 18 can register as organ donors, provided they meet the necessary criteria.

B) "Your name cannot be removed once you are listed on the organ donor list.": This is misleading. Individuals can remove themselves from the organ donor list if they change their minds, as long as they follow the appropriate procedures.

C) "Your desire to be an organ donor must be documented in writing.": This is the correct answer. To ensure that a person's wishes regarding organ donation are respected, it is essential that they are documented, typically through a donor card or registry.

D) "I cannot be a witness for your consent to donate.": While it is true that a nurse may not serve as a witness for consent to donate, this response does not provide the client with useful information about organ donation itself.

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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 caring for a client who is experiencing increased intracranial pressure following a head injury. In which of the following positions should the nurse place the client?

Correct Answer is D

Explanation

A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

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