A nurse is helping a provider administer a dinoprostone insert to induce labor in a client. What action should the nurse take?
Confirm that informed consent has been obtained before administration.
Position the client in a semi-Fowler’s position for 1 hour after administration.
Allow the medication to reach room temperature before administration.
Advise the client to avoid urinating until after administration.
The Correct Answer is A
Choice A rationale
It is crucial to confirm that informed consent has been obtained before administering a dinoprostone insert to induce labor. This is because the patient has the right to understand the benefits, risks, and alternatives of the procedure before it is performed.
Choice B rationale
Positioning the client in a semi-Fowler’s position for 1 hour after administration is not necessary. After the dinoprostone insert is placed, the patient should remain lying down for at least 30 minutes. After this, the patient may sit up or walk, being careful to ensure the insert remains in place.
Choice C rationale
Allowing the medication to reach room temperature before administration is not a requirement for dinoprostone insert. The medication can be administered as soon as it is needed.
Choice D rationale
Advising the client to avoid urinating until after administration is not necessary. The patient can urinate as needed after the dinoprostone insert is placed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The nurse should close the newborn’s eyes before applying eyepatches. This is because the intense light used in phototherapy can harm the newborn’s eyes. Therefore, protective eye patches are used to shield the newborn’s eyes from the light while allowing the rest of the body to be exposed to the light. This helps to convert the bilirubin in the skin into a form that can be easily eliminated from the body.
Choice B rationale
Turning the newborn every 4 hours is not specifically related to phototherapy. While turning is important for preventing pressure ulcers, it does not directly impact the effectiveness of phototherapy. The primary goal of phototherapy is to expose as much of the newborn’s skin as possible to the light, which helps to reduce the level of bilirubin.
Choice C rationale
Applying hydrating lotion to the newborn’s skin prior to treatment is not recommended. The use of lotions or creams can block the light and reduce the effectiveness of phototherapy. The skin should be clean and free of any barriers to light penetration.
Choice D rationale
Providing the newborn with 15 mL glucose water after each feeding is not directly related to phototherapy. While maintaining hydration is important for all newborns, it does not specifically enhance the effectiveness of phototherapy for jaundice.
Correct Answer is B
Explanation
Choice A rationale
Oatmeal is a good source of dietary fiber, but it does not have the highest fiber content per cup compared to the other options. A cup of cooked oatmeal contains about 4 grams of fiber.
Choice B rationale
Lentils are an excellent source of dietary fiber. One cup of cooked lentils contains approximately 15.6 grams of fiber, which is significantly higher than the other options. This makes lentils a great choice for someone looking to increase their fiber intake, especially for those following a vegan diet.
Choice C rationale
Cabbage does contain fiber, but not as much as lentils or oatmeal. One cup of raw cabbage contains about 2.2 grams of fiber. While it’s a healthy vegetable to include in a diet, it’s not the best choice for someone specifically looking to increase their fiber intake.
Choice D rationale
Asparagus is another healthy vegetable that contains fiber, but not as much as the other options. One cup of cooked asparagus contains about 3.7 grams of fiber. While it’s a good choice for a balanced diet, there are better options for increasing fiber intake.
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