A client in labor needs an emergency cesarean section. What should the nurse include when preparing this client for rapid induction of labor? Select all that apply
1. Place a wedge under the right hip.
2. Insert an indwelling urinary catheter.
3. Insert an intravenous infusion catheter.
4. Provide a bolus of 1 L of intravenous fluid.
5. Preoxygenate with 3 to 5 minutes of 100% oxygen.
1, 2, 3, 5
Explanation:
1. Before induction of anesthesia, a wedge is placed under the woman's right hip to displace the uterus and prevent vena caval compression in the supine position.
2. An indwelling bladder catheter is usually inserted before surgery for women undergoing cesarean birth.
3. Before induction of anesthesia, intravenous fluids are started so that access to the intravascular system is immediately available.
4. A bolus of intravenous fluid is provided prior to an epidural; however, it is not indicated for general anesthesia.
5. Before induction of anesthesia, the client should be preoxygenated with 3 to 5 minutes of 100% oxygen.
You might also like to view...
The nurse sees several clients with osteoporosis. For which client would bisphosphonates not be a good option?
a. Client with diabetes who has a serum creatinine of 0.8 mg/dL b. Client who recently fell and has vertebral compression fractures c. Hypertensive client who takes calcium channel blockers d. Client with a spinal cord injury who cannot tolerate sitting up
A patient with chronic lung disease is undergoing lung function testing. What test result denotes the volume of air inspired and expired with a normal breath?
A) Total lung capacity B) Forced vital capacity C) Tidal volume D) Residual volume
When using an interpreter, the nurse should do which of the following?
a. Write out the messages for the interpreter to give the client. b. Look at the interpreter while telling him or her what to tell the client. c. Have the interpreter write the message in the client's language. d. Speak in his or her own language directly to the client.
Which of the following is NOT a common concern or worry for the patient having surgery?
A) fear of the roommate B) fear of the unknown C) concern for being off work D) possibility of death