The nurse is caring for a laboring client who is requesting an epidural.
As the nurse prepares to start an IV, the client asks why it is necessary.
What would be the nurse’s best response?
“You won’t be able to eat, and this provides nutrition to you and the baby during childbirth.”
“Don’t worry about the IV, I have placed many IVs before.”
“The IV is in place to give the medication for relaxation before the epidural is placed.”
“The IV bolus will help to minimize the side effects of the epidural.”
The Correct Answer is C
Choice A rationale:
It is true that a laboring client may not be able to eat, but this is not the primary reason for starting an IV. The client can receive fluids and electrolytes through the IV to maintain hydration and energy levels.
However, this response does not directly address the client's question about why the IV is necessary for the epidural.
It's important to provide a clear and accurate explanation to help the client understand the purpose of the intervention.
Choice B rationale:
This response is dismissive of the client's concerns and does not provide any information about why the IV is necessary.
It's important to acknowledge the client's concerns and provide them with the information they need to make informed decisions about their care.
Choice C rationale:
This is the correct response. The IV is necessary to administer medication for relaxation before the epidural is placed.
The epidural is a regional anesthetic that blocks pain signals from the lower body.
The medication for relaxation helps to reduce anxiety and discomfort, which can make it easier to place the epidural.
It also helps to prevent the client from moving during the procedure, which could lead to complications.
Choice D rationale:
This response is not accurate. An IV bolus is not typically given to minimize the side effects of the epidural.
Side effects of the epidural, such as hypotension and nausea, are usually managed with other medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Genotype refers to the complete set of genetic instructions an individual inherits from their parents. It represents the actual genes present within an individual's cells, determining their traits and characteristics.
Genotype is the underlying genetic foundation that shapes an individual's phenotype, which is the observable expression of those genes.
Choice B rationale:
Chromotype is not a commonly used term in genetics. It may occasionally refer to the banding pattern observed on chromosomes during certain staining techniques, but it does not accurately represent an individual's complete genetic makeup.
Choice C rationale:
Phenotype refers to the observable physical or biochemical characteristics of an individual, such as eye color, height, blood type, or susceptibility to certain diseases. It is the result of the interaction between an individual's genotype and their environment.
While phenotype is influenced by genotype, it does not directly represent the underlying genetic code itself.
Choice D rationale:
Karyotype is a visual representation of an individual's chromosomes, arranged in pairs according to size and shape. It is often used to diagnose chromosomal abnormalities or genetic disorders, but it does not provide the full details of an individual's genetic makeup at the gene level.
Correct Answer is A
Explanation
Choice A rationale:
Bishop score: A tool used to assess the readiness of the cervix for labor induction. It evaluates factors such as cervical dilation, effacement, consistency, position, and station of the fetal presenting part.
Score ranges from 0 to 13: A higher score indicates a more favorable cervix for induction.
Score of 6 or less: Induction is less likely to be successful.
Score of 9 or higher: Induction is more likely to be successful.
Nurses understand: The importance of the Bishop score in predicting the likelihood of successful induction.
Nurses use this information: To counsel patients about the risks and benefits of induction, to prepare for induction, and to monitor progress during induction.
Choice B rationale:
Not always done for medical reasons: Induction can also be elective, meaning it is chosen for non-medical reasons, such as convenience or a desire to avoid a post-term pregnancy.
Examples of medical reasons:
Gestational hypertension or preeclampsia
Fetal growth restriction
Prolonged pregnancy
Chorioamnionitis
Oligohydramnios
Choice C rationale:
Trial of labor (TOL): A term used to describe a vaginal birth attempt after a previous cesarean delivery.
Not synonymous with induction of labor: TOL can occur spontaneously or be induced.
Choice D rationale:
Not always electively done at 37 weeks' gestation: The decision to induce labor at 37 weeks is made on a case-by-case basis.
Factors considered:
Maternal and fetal health
Bishop score
Patient preferences
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