A client is scheduled for an external cephalic version (ECV). Which should the nurse prepare to implement? (Select all that apply.)
a. Initiation of an intravenous (IV) line
b. Obtaining a baseline fetal monitoring pattern
c. Administration of an oxytocin (Pitocin) infusion as prescribed
d. Planning to observe the client and fetus for 1 hour after the procedure
e. Administration of an Rh immunoglobulin after the procedure to Rh-positive clients
ANS: A, B, D
Preparation for an ECV includes starting an IV line for possible drug administration or fluid resuscitation if the FHR is not reassuring, fetal monitoring to obtain baseline values, and observing the client and fetus for 1 hour after the procedure. The nurse administers a tocolytic drug such as terbutaline not an oxytocin. Rh immunoglobulin is given only if the client is Rh-negative.
You might also like to view...
You are caring for a client with anorexia nervosa, restricting subtype. As you evaluate the plan of care, you note that the client is now able to recognize the relationship between food, eating patterns, and the ill-fated journey of the disorder
You know that for the client to reach this goal, what had to happen? A) Family relationships have been mended. B) Reasonable expectations have been met. C) An understanding of the disease process has been achieved. D) Guilt and shame over previous behavior have been released.
What is the nursing action related to the applying of biologic or synthetic skin coverings for a child with partial-thickness burns of both legs?
a. Splint the legs to prevent movement. b. Observe wounds for signs of infection. c. Monitor closely for manifestations of shock. d. Examine dressings for indications of bleeding.
The client who has been taking a diuretic has a serum potassium of 3.4. Which food would the nurse encourage this client to choose from the dinner menu?
1. Baked chicken 2. Green beans 3. Cantaloupe 4. Iced tea
An African American patient refuses to allow any healthcare worker of Asian descent to care for him. This patient is demonstrating what practice?
A) Ethnocentrism B) Racism C) Stereotyping D) Ethnic identification