The nurse is preparing a 35 weeks gestation client with type 1 diabetes for an amniocentesis. After obtaining maternal vital signs and a baseline fetal heart rate, which nursing intervention has the highest priority?

A. Ask the husband to step out: Removing the husband may not be necessary, as providing emotional support is important. The husband can help comfort the client, and their presence may offer reassurance during the active phase of labor.

B. Have delivery table set up: With the client at 9 cm dilated, contracting every 2 minutes, and a fetal heart rate of 120 beats/minute, she is nearing the second stage of labor. Preparing the delivery table ensures readiness for delivery, which is the appropriate response to the progression of labor.

C. Administer a PRN narcotic: Since the client is in the active phase of labor with minimal cervical dilation left and experiencing significant pain, administering a narcotic is not advisable at this point, as it may interfere with her ability to push and could potentially affect the baby’s well-being.

D. Notify rapid response team: While the client is in pain, the situation described does not indicate immediate life-threatening concerns for either the mother or baby. The nurse's priority is to prepare for delivery rather than calling a rapid response team.

A. Enemas and stool softeners are used during treatment: While stool softeners may be used to avoid straining, enemas are generally not recommended just before the placement of the radiation implant due to potential disruption of the radiation site.

B. Activity and ambulation as tolerated are encouraged: During the placement of a cervical radiation implant, the client should remain on bed rest with minimal movement to avoid dislodging the implant. Ambulation is restricted during this procedure.

C. Bed rest with minimal turning should be maintained: The client should remain on bed rest with minimal turning to prevent displacement of the radiation implant. Movement could risk the implant becoming dislodged, so strict bed rest is required to ensure safety.

D. A bedside commode will be provided for urination: A bedside commode may be used to avoid unnecessary movement, but the priority is bed rest to prevent dislodging the implant. The nurse would provide guidance on minimizing movement, including using a commode as needed.