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    Hesi rn care of women and paediatric nursing proctored exam

    At 0600 while admitting a woman for a scheduled repeat cesarean section (C-section), the client tells the nurse that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache.Which action should the nurse take first?

    Explanation & Rationale

    Choice B rationaleInforming the anesthesia care provider is the priority action. Ingesting coffee within a few hours before surgery can affect anesthesia management, and the anesthesia team needs to be aware of any potential complications.Choice A rationaleStarting the IV is important but not the priority in this scenario. The anesthesia care provider needs to be informed first.Choice C rationaleContacting the obstetrician is also important but comes after informing the anesthesia care provider.Choice D rationaleEnsuring preoperative lab results are available is essential, but the first step should be to inform the anesthesia care provider about the coffee intake.

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