A nurse is positioning a client for a cesarean birth. To prevent a compromise in placental blood flow during the intraoperative period, which of the following actions should the nurse take?

Insert a pillow under the client's knees.

Assist the client into the lithotomy position,

Place a wedge under one of the client's hips.

Position the client in reverse Trendelenburg.

Answer and Explanation

The Correct Answer is C

A) Insert a pillow under the client's knees: While placing a pillow under the knees may promote comfort, it can lead to increased pressure on the lower back and may not effectively address potential compression of the vena cava, which is crucial in maintaining optimal placental blood flow during surgery.

B) Assist the client into the lithotomy position: The lithotomy position can increase pressure on the abdominal vessels, potentially compromising blood flow to the placenta. This position should be used cautiously, especially in clients with concerns regarding blood flow.

C) Place a wedge under one of the client's hips: This action is appropriate as it helps to displace the uterus laterally, reducing pressure on the inferior vena cava. This maneuver improves venous return and maintains placental perfusion, which is critical during cesarean delivery.

D) Position the client in reverse Trendelenburg: Although this position elevates the upper body, it does not specifically address the potential for vena cava compression caused by the weight of the uterus. It is less effective than placing a wedge under the hips in terms of preserving placental blood flow.

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Correct Answer is C

Explanation

A) "You must be at least 21 years of age to become an organ donor.": This is inaccurate. Individuals as young as 18 can register as organ donors, provided they meet the necessary criteria.

B) "Your name cannot be removed once you are listed on the organ donor list.": This is misleading. Individuals can remove themselves from the organ donor list if they change their minds, as long as they follow the appropriate procedures.

C) "Your desire to be an organ donor must be documented in writing.": This is the correct answer. To ensure that a person's wishes regarding organ donation are respected, it is essential that they are documented, typically through a donor card or registry.

D) "I cannot be a witness for your consent to donate.": While it is true that a nurse may not serve as a witness for consent to donate, this response does not provide the client with useful information about organ donation itself.

A. Preoccupied with aging B. Suspicious of others C. Exhibits separation anxiety D. Ritualistic behavior

Correct Answer is A

Explanation

A) Preoccupied with aging: Individuals with narcissistic personality disorder often have an intense focus on their appearance and status, which can lead to preoccupation with aging. They may fear losing their attractiveness and the admiration they receive, making this a common finding during assessment.

B) Suspicious of others: Suspiciousness is more characteristic of paranoid personality disorder. While individuals with narcissistic personality disorder may have difficulties in relationships, they are not typically driven by suspicion; rather, they may have an inflated sense of self-importance and entitlement.

C) Exhibits separation anxiety: Separation anxiety is generally not associated with narcissistic personality disorder. Clients with this disorder often exhibit self-sufficiency and may not show signs of dependency that would lead to separation anxiety.

D) Ritualistic behavior: Ritualistic behaviors are more indicative of obsessive-compulsive disorder or obsessive-compulsive personality disorder. Narcissistic personality disorder is focused on self-importance and seeking admiration rather than engaging in specific rituals or compulsions.

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A nurse is positioning a client for a cesarean birth. To prevent a compromise in placental blood flow during the intraoperative period, which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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