The nurse is caring for a patient within the first four hours of her cesarean birth. Which nursing intervention would be appropriate to prevent thrombophlebitis?
A) Roll a bath blanket or towel and place it firmly behind the knees
B) Limit oral intake of fluids for the first 24 hours to prevent nausea
C) Assist to perform leg exercises every two hours
D) Ambulate as soon as vital signs are stable
Question 2
The nurse is reviewing the medical record of a patient who just delivered a newborn and is concerned that the patient is at risk for an intrapartal infection. Which information caused the nurse to have this concern?
A) Urinary catheterization
B) Intravenous fluid infusion
C) Use of forceps for the birth
D) Epidural catheter placement
E) Prolonged rupture of membranes
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