A nurse is planning care for a client who is scheduled for a cesarean birth. Which of the following interventions should the nurse include in the plan of care?

Insert an indwelling urinary catheter immediately following the procedure.

Apply sequential compression devices prior to the procedure.

Perform a surgical timeout while the client is in the preoperative holding area.

Initiate oxytocin via continuous IV infusion prior to the procedure.

Answer and Explanation

The Correct Answer is C

A. An indwelling urinary catheter is typically inserted before or during the procedure, not after.
B. Sequential compression devices are important to prevent venous thromboembolism but are usually applied before or during the procedure; this option is partially correct but less critical than the timeout.
C. Performing a surgical timeout is a critical safety step conducted in the preoperative holding area to verify patient identity, procedure, and site.
D. Oxytocin is usually started after delivery to promote uterine contraction, not prior to surgery.

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Correct Answer is B

Explanation

A. IV fluids should be administered cautiously in preeclampsia to avoid fluid overload; an IV bolus is not routinely indicated.
B. Monitoring for clonus is important, as it is a sign of increased neuromuscular irritability and risk of seizure in preeclampsia.
C. Misoprostol is used to manage postpartum bleeding but is not specific to preeclampsia management.
D. Fluid restriction is generally not recommended unless there are signs of fluid overload or other complications.

A. Insert the diaphragm after you empty your bladder B. "Apply baby powder to the diaphragm during storage C. "An oil-based lubricant should be used when inserting the diaphragm D. The diaphragm should be left in place for 4 hours after intercourse

Correct Answer is A

Explanation

A. The diaphragm should be inserted after emptying the bladder to reduce the risk of urinary tract infections.
B. Baby powder should not be applied to the diaphragm as it can cause irritation or damage.
C. Oil-based lubricants can degrade latex diaphragms and reduce their effectiveness; only water-based lubricants should be used.
D. The diaphragm should be left in place for at least 6 hours after intercourse, not just 4 hours, to ensure effective contraception.

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A nurse is planning care for a client who is scheduled for a cesarean birth. Which of the following interventions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is 1 hr postpartum and has preeclampsia without severe features. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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