A client is undergoing a peripheral arteriography. Which of the following assessments is a priority for the nurse after the procedure?
Checking for allergies to iodine or shellfish
Assessing for pedal pulses bilaterally
Monitoring blood glucose levels
Evaluating respiratory rate and oxygen saturation
The Correct Answer is A
A) Correct - Checking for allergies to iodine or shellfish is a priority assessment after a peripheral arteriography because contrast dye containing iodine is used during the procedure. An allergic reaction to the dye can be life-threatening and requires immediate intervention.
B) Incorrect - Assessing for pedal pulses bilaterally is important in general, but it is not the priority assessment immediately after a peripheral arteriography.
C) Incorrect - Monitoring blood glucose levels may be relevant for clients with diabetes, but it is not the priority assessment after a peripheral arteriography.
D) Incorrect - Evaluating respiratory rate and oxygen saturation is essential in many post-procedure assessments, but it is not the priority immediately after a peripheral arteriography. The focus is on assessing for any immediate allergic reactions to the contrast dye.
Questions
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect - Avoiding showering or bathing for 24 hours after the procedure is unnecessary. Clients can usually shower the day after the angioplasty, but should avoid soaking the insertion site in water.
B) Correct - Keeping the insertion site dry and covered with a dressing is the appropriate wound care for the first 24 hours after peripheral angioplasty. This helps prevent infection and protect the site.
C) Incorrect - Cleaning the insertion site with hydrogen peroxide daily is not recommended, as it may delay wound healing. Instead, clients should follow the healthcare provider's instructions on wound care.
D) Incorrect - Rubbing the insertion site with a washcloth during showers is not advisable, as it may irritate the area and interfere with proper wound healing. The insertion site should be gently washed without scrubbing.
Correct Answer is C
Explanation
A) Incorrect - A high-stress lifestyle can contribute to various health issues, but it is not a genetic risk factor for aneurysms. Stress may exacerbate hypertension, which is a known risk factor.
B) Incorrect - Smoking history is a behavioral risk factor rather than a genetic one. Smoking damages blood vessels and increases the risk of aneurysms through direct and indirect mechanisms.
C) Correct - A positive family history of aneurysms is a genetic risk factor. Having a first-degree relative with a history of an aneurysm increases an individual's risk of developing one.
D) Incorrect - A sedentary lifestyle is a behavioral risk factor for aneurysms, not a genetic one. Lack of physical activity can contribute to hypertension and other risk factors.
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