Exam NCLEX-RN topic 4 question 164 discussion

Actual exam question from Test Prep's NCLEX-RN

Question #: 164
Topic #: 4

The nurse is notified that a 27-year-old primigravida diagnosed with complete placenta previa is to be admitted to the hospital for a cesarean section. The client is now at 36 weeks gestation and is presently having bright red bleeding of moderate amount. On admission, the nursing intervention that the nurse should give the highest priority to is:

A. Shave the client’s abdomen and arrange her lab work
B. Determine the status of the fetus by fetal heart tones
C. Start an IV infusion in the client’s arm
D. Insert an indwelling catheter into her bladder

Show Suggested Answer

Suggested Answer: B 🗳️
(A) These nursing actions are necessary prior to the cesarean section, but not immediately necessary to maintain physiological equilibrium. (B) Determining the physiological status of the fetus would constitute the highest priority in evaluating and maintaining fetal life. (C) These nursing actions are necessary prior to the cesarean section, but not immediately necessary to maintain physiological equilibrium. (D) These nursing actions are necessary prior to the cesarean section, but not immediately necessary to maintain physiological equilibrium.

by [deleted] at March 10, 2025, 6:53 a.m.

Comments

Submit Cancel

Currently there are no comments in this discussion, be the first to comment!