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...
What contraction duration and interval does the nurse recognize could result in fetal compromise?
a. Duration shorter than 30 seconds, interval longer than 75 seconds b. Duration shorter than 90 seconds, interval longer than 120 seconds c. Duration longer than 90 seconds, interval shorter than 60 seconds d. Duration longer than 60 seconds, interval shorter than 90 seconds
A 16-year-old excitedly tells his parents that he was offered a part-time job. Which response represents an effective problem-solving approach for his parents?
a. "Your studies are too important for you to have a part-time job." b. "When we went to high school, academics were the adolescent's priority." c. "We want you to put your earnings in a savings account." d. "How do you think you will manage your school work and a job?"
The hospital administration is concerned that there may be a problem with some nurses diverting medications that should be going to clients. Which approach has been shown to help identify potential drug diversion activities?
A) Use of team medication nurses countersigning each other B) Use of automated systems C) Use of pharmacy technician to pass medications D) Use of additional check-and-balance system
A 1-week-old infant is in the pediatric clinic. The birth weight was 8 lb, 1 oz (3.65 kg). Today the infant weighs 7 lb (3.17 kg). The mother breastfeeds exclusively. What action by the nurse is best?
A. Assess the mother's breastfeeding technique. B. Document the finding and alert the provider. C. Reassure the woman that weight loss is normal. D. Refer the mother to a lactation consultant.