A nurse is caring for a client who experienced a cesarean birth due to dysfunctional labor. The client states that she is disappointed that she did not have a natural childbirth. Which of the following responses should the nurse make?
Maybe next time you can have a vaginal delivery.
It sounds like you are feeling sad that things didn’t go as planned.
At least you know you have a healthy baby.
You can resume sensations sooner than if you had delivered vaginally.
The Correct Answer is B
Choice A reason:
Saying “Maybe next time you can have a vaginal delivery” is not supportive and may minimize the client’s current feelings of disappointment. It is important to acknowledge and validate the client’s emotions rather than focusing on future possibilities.
Choice B reason:
This response, “It sounds like you are feeling sad that things didn’t go as planned,” is empathetic and validates the client’s feelings. It shows that the nurse is listening and understands the client’s disappointment, which is crucial for emotional support.
Choice C reason:
While it is true that having a healthy baby is important, saying “At least you know you have a healthy baby” can come across as dismissive of the client’s feelings. It is essential to address the client’s emotions directly rather than shifting the focus.
Choice D reason:
Telling the client “You can resume sensations sooner than if you had delivered vaginally” is not relevant to the client’s expressed feelings of disappointment about not having a natural childbirth. This response does not address the emotional aspect of the client’s experience.
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Correct Answer is B
Explanation
Choice A reason: Supported Sims:
The Supported Sims position involves lying on one side with the lower arm behind the back and the upper thigh flexed. This position is not typically recommended for postoperative cholecystectomy patients as it does not provide optimal support for breathing and comfort.
Choice B reason: Semi-Fowler’s:
The Semi-Fowler’s position, where the head of the bed is elevated to about 30-45 degrees, is ideal for postoperative cholecystectomy patients. This position helps facilitate breathing, reduces the risk of aspiration, and promotes comfort by reducing tension on the abdominal muscles.
Choice C reason: Dorsal recumbent:
The Dorsal recumbent position involves lying flat on the back with knees bent and feet flat on the bed. While this position can be used for certain procedures, it is not the most comfortable or beneficial for postoperative cholecystectomy patients as it can increase abdominal pressure and discomfort.
Choice D reason: Prone:
The Prone position, where the patient lies flat on their stomach, is not suitable for postoperative cholecystectomy patients. This position can cause discomfort and does not support optimal breathing or reduce abdominal tension.
Correct Answer is D
Explanation
Choice A reason: Chicken broth:
Chicken broth is part of a clear liquid diet, which is typically recommended immediately after surgery to ensure the digestive system is not overburdened. While nutritious, it does not meet the criteria for a full liquid diet, which includes more substantial liquids.
Choice B reason: Flavored gelatin:
Flavored gelatin is also a component of a clear liquid diet. It is easy to digest and provides some hydration and minimal calories. However, it does not provide the nutritional value needed for a full liquid diet.
Choice C reason: Cranberry juice:
Cranberry juice is another item that fits within a clear liquid diet. It is hydrating and provides some vitamins but lacks the protein and calories necessary for a full liquid diet.
Choice D reason: Skim milk:
Skim milk is appropriate for a full liquid diet. It provides essential nutrients, including protein, calcium, and vitamins, which are necessary for recovery after surgery4. Full liquid diets are designed to be more nutritious than clear liquid diets and include items like milk, cream soups, and smooth dairy products.