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 B
A. Checking for allergies to iodine or shellfish is important before the procedure because contrast dye used in arteriography can trigger an allergic reaction. After the procedure, this step is no longer a priority.
B. Assessing pedal pulses bilaterally is critical after a peripheral arteriography to ensure distal circulation is intact. The procedure involves catheterization of arteries, which can lead to vascular complications such as thrombosis, embolism, or arterial occlusion, making this assessment a priority.
C. Monitoring blood glucose levels is important for clients with diabetes but is not the primary concern after an arteriography unless the client has preexisting hyperglycemia or hypoglycemia.
D. Evaluating respiratory rate and oxygen saturation is routine but not the immediate priority after a peripheral arterial procedure unless contrast reaction or sedation complications are suspected. The main concern is circulation to the extremity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect - Regular physical exercise is not a risk factor for aneurysms. In fact, it is associated with a reduced risk of various cardiovascular diseases, including some peripheral vascular disorders.
B) Correct - Hypertension is a significant risk factor for the development of aneurysms. Elevated blood pressure can weaken arterial walls, increasing the risk of aneurysm formation and rupture.
C) Incorrect - A low LDL level below 100 mg/dL is generally considered a healthy lipid profile and is not a risk factor for aneurysms. However, high LDL levels are associated with atherosclerosis and peripheral vascular disorders.
D) Incorrect - A vegetarian diet is not a risk factor for aneurysms. In fact, a diet rich in fruits, vegetables, and whole grains may reduce the risk of cardiovascular diseases, including aneurysms.
Correct Answer is C
Explanation
A) Incorrect - While monitoring urine output is essential, it is not the priority for a client post-abdominal aortic aneurysm repair. Other assessments take precedence to detect immediate complications.
B) Incorrect - Assisting with early ambulation is important for postoperative recovery, but it is not the priority when there might be a risk of complications from the surgery.
C) Correct - Assessing pedal pulses bilaterally is the priority nursing action post-abdominal aortic aneurysm repair. Diminished or absent pedal pulses could indicate compromised blood flow to the lower extremities, possibly due to a clot or embolism.
D) Incorrect - Monitoring blood glucose levels is relevant for some clients, but it is not the priority in this situation, unless the client has a specific history of diabetes or altered glucose levels that could impact their recovery.
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