A nurse is caring for a client immediately following a cardiac catheterization with a femoral artery approach. Which of the following actions should the nurse take?
Remind the client not to turn from side to side.
Check pedal pulses every 15 min.
Keep the client in high-Fowler's position for 6 hr.
Perform passive range-of-motion for the affected extremity.
The Correct Answer is B
Choice A rationale:
Reminding the client not to turn from side to side is not the most appropriate action. While it is important to limit movement after a cardiac catheterization, it is not the most critical action.
Choice B rationale:
Checking pedal pulses every 15 min is the most appropriate action. This is to monitor for signs of vascular compromise, which can occur after a cardiac catheterization with a femoral artery approach.
Choice C rationale:
Keeping the client in high-Fowler’s position for 6 hr is not the most appropriate action. While positioning can be important, it is not the most critical action after a cardiac catheterization with a femoral artery approach.
Choice D rationale:
Performing passive range-of-motion for the affected extremity is not the most appropriate action. While it is important to maintain mobility, it is not the most critical action after a cardiac catheterization with a femoral artery approach.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Telling the client that the physician wants them to take the medicine may not address the client’s concerns or fears about the medication.
Choice B rationale:
Explaining the purpose of the medication is important, but it does not directly address the client’s refusal.
Choice C rationale:
Asking the client why they are being difficult could escalate the situation and is not a respectful or therapeutic response.
Choice D rationale:
Documenting that the client refuses the medication is the most appropriate action as it accurately records the client’s decision and can inform future care planning.
Correct Answer is D
Explanation
Choice A rationale:
Exercising daily is part of a healthy lifestyle. It helps maintain a healthy weight and reduces the risk of heart disease.
Choice B rationale:
Consuming a diet low in fat and sodium is also part of a healthy lifestyle. It can help prevent high blood pressure, a risk factor for heart disease.
Choice C rationale:
Quitting smoking is definitely part of a healthy lifestyle. Smoking is a major risk factor for heart disease.
Choice D rationale:
Drinking 6 cups of coffee per day is not considered part of a healthy lifestyle. High amounts of caffeine can lead to increased heart rate and blood pressure.
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