A client who has just given birth to a healthy newborn required an episiotomy. Which action would the nurse implement immediately after birth to decrease the client's pain from the procedure?

Apply an ice pack to the site.

Offer warm blankets.

Offer a warm sitz bath.

Encourage the woman to void

Answer and Explanation

The Correct Answer is A

A. Ice helps to reduce swelling, numb the area, and relieve pain during the first 24 hours after an episiotomy. Applying ice immediately after birth can help minimize discomfort and inflammation.

B. Offer warm blankets may provide comfort but will not specifically target pain relief or swelling at the site of the episiotomy.

C. Offer a warm sitz bath is beneficial for postpartum healing and pain relief but should not be used immediately after the procedure. Warm sitz baths are typically recommended after the first 24 hours to promote relaxation and improve blood circulation.

D. Encourage the woman to void is important for overall comfort and bladder function but will not directly address the pain from the episiotomy.

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Correct Answer is D

Explanation

A. Potassium chloride is not used in the treatment of magnesium sulfate toxicity. Potassium chloride is typically used to correct low potassium levels, but it is not directly related to managing magnesium sulfate toxicity.

B. Ferrous sulfate is an iron supplement, typically used to treat or prevent iron deficiency anemia, and does not play a role in managing magnesium sulfate toxicity.

C. Calcium carbonate is an antacid and is not used to counteract magnesium sulfate toxicity.

D. Calcium gluconate is the correct choice. Magnesium sulfate is used in severe preeclampsia to prevent seizures, but it can cause toxicity, leading to respiratory depression, loss of deep tendon reflexes, or even cardiac arrest. Calcium gluconate is the antidote for magnesium sulfate toxicity and should be readily available to reverse these effects if necessary.

A. jaundice B. depression C. edema D. hemorrhage

Correct Answer is D

Explanation

A. Jaundice is not typically a primary concern in the case of a ruptured ectopic pregnancy. Jaundice is more associated with liver dysfunction, not hemorrhage or the acute events following an ectopic pregnancy rupture.

B. Depression is an emotional response that could occur after a traumatic event like an ectopic pregnancy, but it is not the priority in an acute situation where physical signs of a life-threatening condition like hemorrhage need immediate attention.

C. Edema may be present in a variety of conditions but is not as urgent or immediately life-threatening as hemorrhage in the case of a ruptured ectopic pregnancy.

D. Hemorrhage is the priority concern in a suspected ruptured ectopic pregnancy. A ruptured ectopic pregnancy can lead to significant internal bleeding, which can cause hypovolemic shock and be life-threatening. Immediate attention to monitoring for signs of hemorrhage (such as hypotension, tachycardia, dizziness, and abdominal pain) is crucial to ensure the client's safety.

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A client who has just given birth to a healthy newborn required an episiotomy. Which action would the nurse implement immediately after birth to decrease the client's pain from the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with severe preeclampsia is receiving magnesium sulfate as part of the treatment plan. To ensure the client's safety, which compound would the nurse have readily available?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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