A woman arrives at the birthing unit for a scheduled cesarean birth. What action by the nurse is most important?
A.
Cleanse and shave the woman's abdomen.
B.
Ensure that signed informed consent is on the chart.
C.
Facilitate a blood draw for type and cross match.
D.
Initiate a large-bore IV and insert a catheter.
ANS: B
Upon arrival to the birthing unit, the priority nursing action is to ensure that a signed maternal consent is on the chart. The nurse will cleanse and shave the abdomen, start an IV, and insert a catheter, but these interventions are not the priority. Laboratory work should have been obtained prior to the day of admission.
You might also like to view...
A 14-year-old boy is at the pediatric clinic for a checkup. What physical changes of puberty will the nurse indicate are related to the production of testosterone?
a. Stimulation of production of white cells and platelets b. Promotion of growth of small bones c. Increase in muscle mass and strength d. Decrease in production of sebaceous gland secretions
When patients are taking sparfloxacin, the nurse should monitor:
a. theophylline levels. b. QT intervals. c. extraocular movements. d. peripheral sensation.
A client with a history of multiple allergies is prescribed a new anti-infective. At which time should the nurse plan to monitor the client for an anaphylactic reaction?
1. Within 24 hours of receiving the first dose 2. Immediately after receiving the first dose 3. At any time while receiving the drug 4. Within one hour of receiving the first dose
In general, there are four different causes of erythema or skin breakdown
Identify two.