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69 A client who delivered by Cesarean Section 24 hours ago is using a patient-controlled analgesia (PCA) pump for pain control. Her oral intake has been ice chips only since surgery. She is now complaining of infant. Which nursing diagnosis has the highest priority? nausea and bloating, and states that because she had nothing to eat, she is too weak to breastfeed her A. Altered nutrition, less than body requirements for lactation B. Alteration in comfort related to nausea and abdominal distention C. Impaired D. Fatigue related to cesarean delivery and physical care demands of infant E. Impaired bowel motility caused by surgical anesthesia, pain medication, and immobility 70 A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room. She sure has a funny-looking head." Which response by the nurse is best? A. "This is not an unusually shaped head, especially for a first baby." B. "It may look odd, but newborn babies are often born with heads like that." C. "That is normal. The head will return to a round shape within 7 to 10 days." D. "Your pelvis was too small, so the head had to adjust to the birth canal." 71 What is an important measure to reduce the size of the bladder and keep it away from the surgical field during caesarean birth? A. Administer an oxytocic to contract the bladder. B. Restrict fluids in the woman for 4 hours before surgery. C. Insert a urinary catheter to drain the bladder and decrease its size. D. Give a diuretic to reduce the bladder to its smallest size.

69 A client who delivered by Cesarean Section 24 hours ago is using a patient-controlled analgesia (PCA) pump for pain control. Her oral intake has been ice chips only since surgery. She is now complaining of infant. Which nursing diagnosis has the highest priority? nausea and bloating, and states that because she had nothing to eat, she is too weak to breastfeed her A. Altered nutrition, less than body requirements for lactation B. Alteration in comfort related to nausea and abdominal distention C. Impaired D. Fatigue related to cesarean delivery and physical care demands of infant E. Impaired bowel motility caused by surgical anesthesia, pain medication, and immobility 70 A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room. She sure has a funny-looking head." Which response by the nurse is best? A. "This is not an unusually shaped head, especially for a first baby." B. "It may look odd, but newborn babies are often born with heads like that." C. "That is normal. The head will return to a round shape within 7 to 10 days." D. "Your pelvis was too small, so the head had to adjust to the birth canal." 71 What is an important measure to reduce the size of the bladder and keep it away from the surgical field during caesarean birth? A. Administer an oxytocic to contract the bladder. B. Restrict fluids in the woman for 4 hours before surgery. C. Insert a urinary catheter to drain the bladder and decrease its size. D. Give a diuretic to reduce the bladder to its smallest size.

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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69 A client who delivered by Cesarean Section 24 hours ago is using a patient-controlled analgesia (PCA) pump for pain control. Her oral intake has been ice chips only since surgery. She is now complaining of nausea and bloating, and states that because she had nothing to eat, she is too weak to breastfeed her infant. Which nursing diagnosis has the highest priority B. Alteration in comfort related to nausea and abdominal distention A. Altered nutrition, less than body requirements for lactation C. Impaired bowel motility related to pain medication and Fatigue related to cesarean delivery and physical care immobility demands of infant E. Impaired bowel motility caused by Surgical anesthesia, pain medication, and immobility 70 A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room. She sure has a funny-looking head." Which response by the nurse is best? A. "This is not an unusually shaped head, especially for a first baby." B. "It may look odd, but newborn babies are often born with heads like that." C. "That is normal. The head will return to a round shape within 7 to 10 days." D. "Your pelvis was too small, so the head had to adjust to the birth canal." 71 What is an important measure to reduce the size of the bladder and keep it away from the surgical field during caesarean birth? A. Administer an oxytocic to contract the bladder. B. Restrict fluids in the woman for 4 hours before surgery. C. Insert a urinary catheter to drain the bladder and decrease its size. D. Give a diuretic to reduce the bladder to its smallest size. 72 The nurse administers ranitidine (Zantac) as ordered prior to a planned cesarean birth to: A. Promote uterine contractions. B. Decrease gastric secretions. C. Delay uterine contractions. D. Neutralize urine acidity. 73 Which of the following interventions would be most helpful to assist a woman to void after a cesarean birth? A. Withholding prescribed analgesic. B. Letting the woman void every 4 hours. C. Running water from the tap within woman's hearing distance. D. Pouring cold water over her perineal area. 74 A woman has undergone a cesarean birth is to be discharged. The nurse would instruct the woman to notify her health care provider if she develops which of the following? A. Drainage at her incision line. B. No bowel movement for 2 days. C. Decrease in lochia. D. Pain on the incision site. 75 The nurse administers Ringer's solution intravenously for what purpose? A. To avoid urinary tract infection. B. To ensure that the woman is fully hydrated.
Transcribed Image Text:69 A client who delivered by Cesarean Section 24 hours ago is using a patient-controlled analgesia (PCA) pump for pain control. Her oral intake has been ice chips only since surgery. She is now complaining of nausea and bloating, and states that because she had nothing to eat, she is too weak to breastfeed her infant. Which nursing diagnosis has the highest priority B. Alteration in comfort related to nausea and abdominal distention A. Altered nutrition, less than body requirements for lactation C. Impaired bowel motility related to pain medication and Fatigue related to cesarean delivery and physical care immobility demands of infant E. Impaired bowel motility caused by Surgical anesthesia, pain medication, and immobility 70 A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room. She sure has a funny-looking head." Which response by the nurse is best? A. "This is not an unusually shaped head, especially for a first baby." B. "It may look odd, but newborn babies are often born with heads like that." C. "That is normal. The head will return to a round shape within 7 to 10 days." D. "Your pelvis was too small, so the head had to adjust to the birth canal." 71 What is an important measure to reduce the size of the bladder and keep it away from the surgical field during caesarean birth? A. Administer an oxytocic to contract the bladder. B. Restrict fluids in the woman for 4 hours before surgery. C. Insert a urinary catheter to drain the bladder and decrease its size. D. Give a diuretic to reduce the bladder to its smallest size. 72 The nurse administers ranitidine (Zantac) as ordered prior to a planned cesarean birth to: A. Promote uterine contractions. B. Decrease gastric secretions. C. Delay uterine contractions. D. Neutralize urine acidity. 73 Which of the following interventions would be most helpful to assist a woman to void after a cesarean birth? A. Withholding prescribed analgesic. B. Letting the woman void every 4 hours. C. Running water from the tap within woman's hearing distance. D. Pouring cold water over her perineal area. 74 A woman has undergone a cesarean birth is to be discharged. The nurse would instruct the woman to notify her health care provider if she develops which of the following? A. Drainage at her incision line. B. No bowel movement for 2 days. C. Decrease in lochia. D. Pain on the incision site. 75 The nurse administers Ringer's solution intravenously for what purpose? A. To avoid urinary tract infection. B. To ensure that the woman is fully hydrated.
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