At 0600, while admitting a woman for a scheduled repeat cesarean section (C-section), the client tells the nurse that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache. Which action should the nurse take first?
Start prescribed IV with lactated Ringer’s.
Inform the anesthesia care provider.
Ensure preoperative lab results are available.
Contact the client’s obstetrician.
The Correct Answer is B
Choice A rationale
Starting IV fluids is essential but not the priority in this situation. Caffeine intake may alter anesthesia effects, and the anesthesiologist needs to be informed first.
Choice B rationale
Informing the anesthesia care provider is crucial because caffeine can affect anesthesia administration and increase the risk of complications, such as increased gastric acidity and delayed gastric emptying.
Choice C rationale
Ensuring preoperative lab results is important, but it is not the immediate priority compared to informing the anesthesia care provider about the caffeine intake, which directly impacts anesthesia management.
Choice D rationale
Contacting the obstetrician is necessary but secondary. The immediate priority is to inform the anesthesia care provider about the caffeine intake, which has direct implications for anesthesia and surgical safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Hydralazine decreases blood pressure by vasodilation, improving renal perfusion and function. Enhanced kidney function promotes diuresis, balancing fluid levels and reducing hypertension.
Choice B rationale
While controlling blood pressure indirectly benefits liver health, hydralazine's primary effect on vasodilation does not directly support liver function.
Choice C rationale
Hydralazine primarily lowers blood pressure through vasodilation. Preventing arrhythmias is more directly associated with medications affecting cardiac conduction rather than vasodilators.
Choice D rationale
Lowering cholesterol levels is not a direct effect of hydralazine. Its primary action is reducing blood pressure through vascular smooth muscle relaxation, decreasing hypertension.
Correct Answer is A
Explanation
Choice A rationale
Low back pain and pelvic cramping after amniocentesis can indicate complications such as premature labor or infection, which requires immediate medical attention.
Choice B rationale
Headache and blurred vision are less indicative of complications from amniocentesis; these symptoms are more commonly associated with conditions like preeclampsia.
Choice C rationale
Increased fetal movement is not typically a complication of amniocentesis and does not directly relate to immediate maternal or fetal health concerns.
Choice D rationale
Epigastric pain is not a specific complication of amniocentesis; it is more commonly associated with gastrointestinal issues or, in severe cases, preeclampsia.
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