A client is scheduled for a cesarean section (C-section).
Which nursing intervention should be included in preoperative care?
Administering an opioid analgesic
Assessing for signs of deep vein thrombosis
Encouraging coughing and deep breathing exercises
Providing a high-carbohydrate meal.
The Correct Answer is C
The correct answer is choice C) Encouraging coughing and deep breathing exercises.
This is because coughing and deep breathing exercises can help prevent atelectasis and pneumonia, which are common postoperative complications of C-section.
Coughing and deep breathing exercises also promote oxygenation and circulation.
Choice A) Administering an opioid analgesic is wrong because opioids can cause respiratory depression and sedation, which are not desirable before surgery.
Opioids can also cross the placenta and affect the fetus.
Choice B) Assessing for signs of deep vein thrombosis is wrong because this is not a priority intervention before surgery.
Deep vein thrombosis is more likely to occur after surgery due to immobility and venous stasis.
Choice D) Providing a high-carbohydrate meal is wrong because this can increase the risk of aspiration during surgery.
The client should be kept NPO (nothing by mouth) for at least 6 hours before surgery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A. "Holding the newborn close to her chest" indicates effective bonding. Physical closeness is important for establishing a connection between the mother and newborn. This promotes emotional attachment and comfort for the baby.
B. "Making eye contact with the newborn" is a key indicator of bonding. Eye contact fosters connection and attachment and is often an early behavior seen in positive bonding.
C. "Talking to the newborn in a soft voice" also reflects positive bonding behavior. Talking to the newborn helps with emotional connection, promotes early communication, and establishes comfort for the baby.
D. "Handing the newborn to a family member when crying" does not indicate effective bonding. While it may be appropriate to ask for help, consistent delegation of newborn care can suggest a lack of emotional connection or reluctance to care for the infant.
E. "Stroking the newborn’s hair and skin" is another indicator of effective bonding. Physical touch, such as stroking, is soothing and promotes attachment between the mother and her newborn.
Correct Answer is B
Explanation
The correct answer is choice B. The client can use patient-controlled analgesia to self-administer opioids.This is a form of multimodal analgesia, which is the core principle for cesarean delivery pain management.
Patient-controlled analgesia allows the client to have control over their pain relief and adjust the dose according to their needs.
Choice A is wrong because the client may experience delays in receiving analgesics if they have to request them from the nurse, which can lead to inadequate pain relief and increased opioid consumption.
Choice C is wrong because ice packs are not recommended for cesarean delivery pain management, as they may interfere with wound healing and increase the risk of infection.
Choice D is wrong because deep breathing and relaxation exercises are not sufficient to manage acute postoperative pain, although they may be helpful as adjuncts to pharmacologic methods.
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