Which nursing intervention is most important for preventing surgical site infections in clients undergoing surgery?

Administering prophylactic antibiotics as ordered

Encouraging coughing and deep breathing exercises

Providing adequate pain control

Assessing for signs of deep vein thrombosis.

Answer and Explanation

The Correct Answer is A

The correct answer is choice A) Administering prophylactic antibiotics as ordered. According to the WHO guidelines for the prevention of surgical site infection (SSI), prophylactic antibiotics should be given within 60 minutes before skin incision and discontinued within 24 hours after surgery.

This reduces the risk of SSI by preventing bacterial colonization of the surgical site.

Choice B) Encouraging coughing and deep breathing exercises is wrong because this intervention is mainly for preventing respiratory complications, not SSI. Coughing and deep breathing exercises help to clear secretions and prevent atelectasis and pneumonia.

Choice C) Providing adequate pain control is wrong because this intervention is mainly for improving patient comfort and recovery, not SSI. Pain control may reduce stress and inflammation, but it does not directly affect the risk of SSI.

Choice D) Assessing for signs of deep vein thrombosis (DVT) is wrong because this intervention is mainly for preventing venous thromboembolism (VTE), not SSI.

DVT is a condition where a blood clot forms in a deep vein, usually in the legs.

It can cause pain, swelling, and redness. If the clot breaks off and travels to the lungs, it can cause a pulmonary embolism (PE), which can be life-threatening.

Some other intraoperative interventions for preventing SSI include using an alcohol-based skin prep, maintaining body temperature, using impervious wound protectors, and performing SSI surveillance.

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Correct Answer is D

Explanation

The correct answer is choiceD.A planned Cesarean section increases the rate of unexplained stillbirths at or after 34 weeks in future pregnancies.This is because a prior Cesarean section can cause placental abnormalities such as placenta previa and placenta accreta, which are associated with increased risk of stillbirth.

Choice A is wrong because the evidence comparing the risks of planned Cesarean section and vaginal delivery is mainly low or moderate quality.There are many confounding factors that can affect the outcomes of different modes of delivery, and most studies are observational and not randomized.

Choice B is wrong because the immediate maternal risks from a planned Cesarean section are not significantly higher than those of a planned vaginal delivery.However, a planned Cesarean section is associated with higher risks of infection, thromboembolism, wound complications, and longer hospital stay than a planned vaginal delivery.

Choice C is wrong because a vaginal birth is not associated with a comparable or higher maternal mortality rate than planned Cesarean section.The maternal mortality rate for planned Cesarean section is 0.01% and for planned vaginal delivery is 0.02%, which means there is no significant difference between the two modes of delivery.

Choice E is wrong because there is no evidence that an association exists between a prior Cesarean section and subsequent preterm birth, fetal growth restriction and spontaneous miscarriage.

These outcomes are more likely to be influenced by other factors such as maternal age, medical conditions,

A. Mothers have more problems with parenting skills. B. Mothers may be at increased risk for poor bonding with the newborn. C. Mothers cannot breastfeed right away. D. Mothers may resent the health care team member for keeping the newborn in the nursery.

Correct Answer is B

Explanation

The correct answer is choice B. Mothers may be at increased risk for poor bonding with the newborn.This is because cesarean delivery can interfere with the natural hormonal and physiological processes that facilitate maternal-infant attachment, such as skin-to-skin contact, breastfeeding initiation, and oxytocin release.Cesarean delivery can also cause more pain, stress, and anxiety for the mother, which can affect her emotional availability and responsiveness to the newborn.

Choice A is wrong because mothers do not necessarily have more problems with parenting skills after cesarean delivery.

Parenting skills depend on many factors, such as education, support, personality, and motivation.

Cesarean delivery may pose some challenges for postpartum recovery and care, but it does not imply that mothers are less competent or capable of parenting.

Choice C is wrong because mothers can breastfeed right away after cesarean delivery, unless there are medical contraindications or complications.

Breastfeeding is beneficial for both the mother and the newborn, as it provides nutrition, immunity, comfort, and bonding.However, breastfeeding after cesarean delivery may require more assistance and support from health care providers and family members, as well as alternative positions and techniques to avoid pain and discomfort.

Choice D is wrong because mothers do not necessarily resent the health care team member for keeping the newborn in the nursery.

Mothers may appreciate the help and care that the health care team member provides for them and their newborns.

However, keeping the newborn in the nursery may delay or reduce the opportunities for maternal-infant interaction and bonding.

Therefore, it is recommended to promote early and frequent contact between the mother and the newborn after cesarean delivery, as long as it is safe

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Which nursing intervention is most important for preventing surgical site infections in clients undergoing surgery?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The following statement(s) is/are true about the risks of Cesarean section:.

Correct Answer is D

Explanation

Correct Answer is B

Explanation

A client is scheduled for a cesarean section (C-section). Which nursing intervention should be included in preoperative care?

A nurse is evaluating the bonding between a client who had a cesarean delivery and her newborn. Which of the following behaviors by the client indicates effective bonding? (Select all that apply.).

A nurse is monitoring a patient who had a cesarean delivery for signs of infection. Which of the following findings should alert the nurse to a possible infection? (Select all that apply.).

A nurse is monitoring a client who had a cesarean delivery for signs of thromboembolism. Which of the following findings should alert the nurse to this complication?

A nurse is caring for a client who had an unscheduled cesarean delivery due to fetal distress. Which of the following interventions should the nurse implement in the immediate postoperative period?

Which nursing intervention is most important for preventing surgical site infections in clients undergoing surgery?

As a patient is arriving in the recovery area following a cesarean delivery, the health care team member receives a hand-off report from the anesthesia provider. Which information should be included in this report? (Select all that apply.)

A nurse is evaluating the bonding between a patient who had a cesarean delivery and her newborn. Which of the following behaviors by the patient indicates positive bonding?