A healthy woman who is scheduled for elective cesarean birth is being admitted to the hospital. Her surgery is scheduled to begin in 4 hours. The woman asks for a sip of coffee with creamer. How should the nurse respond?
1. "Since you're having surgery today, you're not allowed to have anything to eat or drink."
2. "You can drink black coffee."
3. "You may have coffee with creamer."
4. "You're only allowed to drink water right now."
Correct Answer: 2
Rationale 1: Avoiding both liquids and solids during labor, which was once standard practice, is no longer so because evidence-based practice research and new guidelines indicate that clear fluids can be consumed throughout labor and up to 2 hours
before an elective cesarean birth.
Rationale 2: Evidence-based practice research and new guidelines indicate that clear fluids can be consumed throughout labor and up to 2 hours before an elective cesarean birth. Research shows that the volume of liquid consumed is less important than the presence of particulate matter ingested because this increases the risk of aspiration.
Rationale 3: Evidence-based practice research and new guidelines indicate that clear fluids can be consumed throughout labor and up to 2 hours before an elective cesarean birth. Research shows that the volume of liquid consumed is less important than the presence of particulate matter ingested because this increases the risk of aspiration. While black coffee is considered a clear liquid, adding creamer would be contraindicated.
Rationale 4: Evidence-based practice research and new guidelines indicate that clear fluids can be consumed throughout labor and up to 2 hours before an elective cesarean birth. Research shows that the volume of liquid consumed is less important than the presence of particulate matter ingested because this increases the risk of aspiration. Black coffee is considered to be a clear liquid.
You might also like to view...
Health promotion and preventive health care are a major focus for the nursing professional. The challenge for nursing is to promote positive lifelong health behaviors in all segments of the population
What is the impact on the population if this challenge is not met? A) Declining longevity B) Increased disabilities C) Chronic disease D) Increased numbers of risk factors
The nurse is caring for a client receiving pain medication through an epidural catheter. What should the nurse include to ensure safety when caring for this client?
1. Secure all tubing connections with gauze. 2. Apply tape over all injection ports on the tubing. 3. Cleanse the insertion site with alcohol swabs once a day. 4. Label the tubing, infusion bag, and pump with the word "epidural." 5. Post a sign above the client's bed indicating that an epidural is being used.
A client at 9 weeks' gestation learns about being HIV positive. Which client statement indicates teaching about the effects on the baby has been effective?
1. "The pregnancy will increase the progression of my disease and will reduce my CD4 counts." 2. "The HIV will not affect my baby, and I will have a low-risk pregnancy without additional testing." 3. "My baby will probably be born with anti-HIV antibodies, but that does not mean the baby is infected." 4. "I cannot take the medications that control HIV during my pregnancy because they will harm the baby."
Which best describes the difference between septic shock and multiple organ dysfunction syndrome (MODS)?
a. Septic shock causes an elevation in body temperature, tachycardia, and tachypnea, while MODS causes a hypothermia, bradycardia, and bradypnea b. Septic shock causes significant illness but is rarely life threatening, while MODS has very high mortality rates c. Septic shock refers to the presence of bacteria in the blood, while MODS is chronic inflammation d. Septic shock is caused by infection that results in hypotension, while MODS involves hypotension as well as other body system abnormalities