Nursing interventions and follow-up
Nursing interventions and follow-up ( 5 Questions)
A nurse is preparing to perform a nonstress test (NST) for a client who is at 36 weeks of gestation and reports decreased fetal movement.
Which of the following actions should the nurse take first?
Applying conduction gel to the client’s abdomen is not the first action the nurse should take. The nurse should first explain the test and obtain consent from the client before applying any equipment.
Instructing the client to press a button when she feels fetal movement is part of the nonstress test procedure, but not the first action. The nurse should first educate the client about the test and its purpose.
Explain the purpose, procedure, and possible outcomes of the test to the client. This is because the nurse should always obtain informed consent from the client before performing any procedure, and provide education and reassurance about the test.
Activating a vibroacoustic stimulation device to wake up the fetus is not necessary for a nonstress test. This device may be used if the fetal heart rate is nonreactive, but only after explaining the test and obtaining consent from the client.
Explain the purpose, procedure, and possible outcomes of the test to the client. This is because the nurse should always obtain informed consent from the client before performing any procedure, and provide education and reassurance about the test.
Choice A is wrong because applying conduction gel to the client’s abdomen is not the first action the nurse should take. The nurse should first explain the test and obtain consent from the client before applying any equipment.
Choice B is wrong because instructing the client to press a button when she feels fetal movement is part of the nonstress test procedure, but not the first action. The nurse should first educate the client about the test and its purpose.
Choice D is wrong because activating a vibroacoustic stimulation device to wake up the fetus is not necessary for a nonstress test. This device may be used if the fetal heart rate is nonreactive, but only after explaining the test and obtaining consent from the client.