Accurate Answers
The correct answer is: Place a large-bore IV catheter in an upper extremity.
Rationale
Establishing venous access is the priority intervention to allow for the rapid administration of fluids or blood
products to stabilize a client with trauma and potential hemorrhage.
,The correct answer is: Apply a fetal heart rate monitor.
Rationale
After the rupture of membranes, the immediate priority is to assess fetal well-being and monitor for potential
complications, such as umbilical cord prolapse, by evaluating the fetal heart rate pattern.
,The correct answer is: Assist the caregiver to arrange for a daycare program for the client.
Rationale
Enrolling the client in a daycare program provides the caregiver with much-needed respite, directly addressing
their statement about high stress and the personal impact of providing constant care.
, The correct answer is: Hyperventilate the client with 100% oxygen before suctioning
Rationale
Pre-oxygenating the client with $100\%$ oxygen helps prevent hypoxemia during the suctioning procedure,
which temporarily interrupts the client's oxygen supply.