A nurse enters a client's room and sees smoke coming from the trash can next to the client's bed. Which of the following actions should the nurse take first?

Choice A reason: This is not an expected sensation during injection of the contrast medium because numbness in the fingertips can indicate peripheral nerve damage or ischemia, which are rare but serious complications of cardiac catheterization. The nurse should assess the client's peripheral pulses, capillary refill, and sensation and report any abnormalities.

Choice B reason: This is not an expected sensation during injection of the contrast medium because pain in the jawline can indicate angina or myocardial infarction, which are rare but serious complications of cardiac catheterization. The nurse should monitor the client's vital signs, electrocardiogram, and chest pain and report any changes.

Choice C reason: This is not an expected sensation during injection of the contrast medium because urge to urinate can indicate bladder distension or urinary tract infection, which are unrelated to cardiac catheterization. The nurse should encourage the client to empty their bladder before the procedure and check for urinary retention or dysuria after the procedure.

Choice D reason: This is an expected sensation during injection of the contrast medium because feeling of heat can occur as a result of vasodilation caused by the contrast medium, which increases blood flow to the skin and mucous membranes. The nurse should inform the client that this sensation is normal and temporary and will subside within a few minutes.

Choice A reason: This is not a correct instruction because avoiding climbing stairs for 8 weeks is unnecessary and impractical for most clients. The nurse should advise the client to limit stair climbing for the first 2 weeks after surgery and increase activity gradually as tolerated.

Choice B reason: This is not a correct instruction because expecting bright red vaginal bleeding for 1 week following surgery is abnormal and could indicate hemorrhage or infection. The nurse should instruct the client to report any bright red or foul-smelling vaginal discharge to the provider immediately.

Choice C reason: This is not a correct instruction because douching with warm water to remove vaginal discharge can irritate the vagina and increase the risk of infection. The nurse should instruct the client to avoid douching, tampons, or sexual intercourse until cleared by the provider.

Choice D reason: This is a correct instruction because taking a shower rather than a tub bath can prevent soaking and infection of the incision site and promote healing. The nurse should instruct the client to pat the incision dry after showering and avoid applying any creams or lotions to the incision.