A patient who has been in labor for 20 hours is being prepared for an emergent cesarean birth. Which action will help ensure the patient's fluid status during the procedure?
A) Provide with a clear liquid tray.
B) Encourage intake with ice chips.
C) Initial intravenous fluid therapy.
D) Administer an antiemetic as prescribed.
C
Feedback:
A patient who enters surgery with a lower than usual blood volume will experience the effect of surgical blood loss more than a patient who has a normal blood volume. A patient who has had a long labor before a cesarean birth is scheduled may fall into this category, because the patient may have had little to eat or drink for almost 24 hours. Intravenous fluid replacement needs to be initiated preoperatively and continued postoperatively to prevent a serious fluid or electrolyte imbalance. Since surgery is imminent, the patient should be kept at "nothing by mouth" status, which means no ice chips or clear liquids. An antiemetic is not indicated for the patient at this time.
You might also like to view...
A child is brought into the ED with suspected appendicitis. What signs and symptoms does the nurse expect to assess? (Select all that apply.)
a. Left lower quandrant pain b. Guarding c. Rebound tenderness d. Decreased C-reactive protein e. Pain on lifting thigh when supine
Calcium plays an essential role in which of these processes?
a. vitamin B absorption c. digestion b. muscle strength d. blood clotting
Which of the following differential diagnosis for patients presenting with polymyalgia rheumatica (PMR) can be ruled out with a muscle biopsy?
A. Parkinson's disease B. Polymyositis C. Late onset rheumatoid arthritis D. Giant Cell Arteritis
A standard must be:
a. accredited. b. comparative. c. pre-determined. d. measurable.