A nurse is assisting with the plan of care for a client immediately following a cardiac catheterization with coronary angiography. An arterial closure device was used to close the access site. Which of the following interventions should the nurse recommend?

Elevate the head of the bed 45 degrees.

Limit fluid intake for 4 hr after the procedure.

Have the client rest in bed for 2 hr.

Insert an indwelling urinary catheter 1 hr post procedure.

Answer and Explanation

The Correct Answer is C

A. Elevate the head of the bed 45 degrees. The head of the bed should not be elevated this high, as this can increase pressure on the arterial access site, risking bleeding or disruption of the closure device.

B. Limit fluid intake for 4 hr after the procedure. Fluids should actually be encouraged to help flush out contrast dye used during the procedure and to maintain hydration. Limiting fluids could increase the risk of renal complications.

C. Have the client rest in bed for 2 hr. Bed rest is typically required after cardiac catheterization, especially with the use of an arterial closure device. Two hours is a reasonable time for initial bed rest following the procedure.

D. Insert an indwelling urinary catheter 1 hr post procedure. A urinary catheter is not routinely required after a cardiac catheterization unless there are specific medical indications.

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Correct Answer is D

Explanation

A. CT scan without contrast dye: A CT scan without contrast dye is a non-invasive diagnostic procedure that does not require written informed consent in most cases.

B. Echocardiogram: An echocardiogram is a non-invasive ultrasound of the heart and typically does not require written informed consent.

C. Electrocardiogram: An electrocardiogram (ECG) is a simple, non-invasive test to monitor heart activity and does not require written informed consent.

D. Nuclear stress test: A nuclear stress test involves injecting a radioactive substance and placing stress on the heart. Due to its invasive nature and potential risks, written informed consent is required for this procedure.

A. Schedule an appointment for a prostate-specific antigen (PSA) test. B. Schedule his next appointment for 1 year from now. C. Provide information about how to reduce risk factors of hypertension. D. Provide information for a weight loss plan that includes increasing physical activity.

Correct Answer is C

Explanation

A. Schedule an appointment for a prostate-specific antigen (PSA) test. PSA screening is typically considered for men aged 50 and older, or earlier for those with higher risk factors like family history. Since the client does not mention any risk factors, this option is not a priority.

B. Schedule his next appointment for 1 year from now. While it is standard for clients without significant health issues to have annual exams, the nurse should prioritize education on risk factors related to hypertension, given the client's slightly elevated blood pressure.

C. Provide information about how to reduce risk factors of hypertension. Even though the client's blood pressure is in the elevated category, it is important to educate him about how to reduce the risk of developing hypertension, particularly since he is African-American, which is a population at higher risk for hypertension.

D. Provide information for a weight loss plan that includes increasing physical activity. The client has a normal BMI of 24, so weight loss would not be necessary. However, regular physical activity is important for overall cardiovascular health.

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A nurse is assisting with the plan of care for a client immediately following a cardiac catheterization with coronary angiography. An arterial closure device was used to close the access site. Which of the following interventions should the nurse recommend?

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Naxlex Comprehensive Predictor Exams

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