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
This is the correct answer. Sore nipples are a common issue for breastfeeding women, often due to the baby not latching well. Assessing the newborn’s latch can help identify and correct any issues, potentially alleviating the mother’s discomfort.
Choice B rationale
Limiting the length of breastfeeding to 5 minutes per breast is not typically recommended as it may not provide enough feeding time for the baby and could potentially exacerbate nipple soreness.
Choice C rationale
Waiting 4 hours between daytime feedings is not typically recommended. Newborns typically need to feed every 2-3 hours.
Choice D rationale
Offering supplemental formula between the newborn’s feedings is not typically the first step in addressing sore nipples in a breastfeeding mother. It’s more important to address the underlying issue, such as improving the baby’s latch.
Correct Answer is D
Explanation
Choice A rationale
Using a lubricant during intercourse can actually decrease the chances of conception. Some lubricants can affect the pH balance in the vagina, which can affect sperm motility and survival.
Choice B rationale
Taking daily hot baths is not recommended as a fertility treatment. In fact, frequent hot baths can negatively affect male fertility by increasing the temperature of the testes, which can reduce sperm count.
Choice C rationale
Drinking herbal tea two times daily is not a proven method to increase fertility. While some herbs are believed to have fertility-boosting properties, their effectiveness varies greatly and some can even be harmful. It’s important to consult with a healthcare provider before starting any new herbal regimen.
Choice D rationale
Maintaining a healthy weight can improve fertility. Both underweight and overweight conditions can lead to irregular menstrual cycles and ovulation, which can make it more difficult to conceive. A healthy weight can also reduce the risk of pregnancy complications
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