QUESTION: "When preparing a client for a scheduled cesarean delivery, which of the following would the nurse do before transferring the client to the operating suite?"
CHOICES
( X ) a.) Ask the client to empty her bladder.
( X ) b.) Remove the client's wedding ring.
( X ) c.) Cleanse the abdomen with povidone-iodine (Betadine).
( O ) d.) Allow some time for the couple to be alone.
RATIONALE: If at all possible, the couple should have a few minutes alone so that they can provide support to one another. Typically, prior to the procedure, the client undergoing a cesarean delivery section will often have an indwelling urinary catheter inserted, so she does not need to empty her bladder. The client's wedding ring does not have to be removed. Rather the nurse can tape it in place. Abdominal cleansing will be done in the operating suite. NURSING PROCESS STEP: Implementation CLIENT NEEDS CATEGORY: Health promotion and maintenance CLIENT NEEDS SUBCATEGORY: None
