A nurse is caring for a client post cardiac catheterization via the right groin site. The nurse is aware that which of the following findings needs to be reported to the interventional cardiologist as soon as it is identified.
Swelling at the insertion site and cool extremity
Oozing blood from the insertions site
The client has not voided since returning to recovery.
Blood pressure reading of 110/70 and heart rate of 90
The Correct Answer is A
Rationale:
A. Swelling at the insertion site and cool extremity may indicate bleeding or hematoma formation at the site.
B. Oozing blood from the insertion site is expected immediately after a cardiac catheterization.
C. The client has not voided since returning to recovery is not related to the cardiac catheterization.
D. Blood pressure reading of 110/70 and heart rate of 90 are within normal limits.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Obstructive sleep apnea is a risk factor for the development of hypertension.
B. Benazepril is an antihypertensive medication and is not a risk factor for hypertension.
C. A high HDL level is a protective factor against the development of hypertension.
D. A regular exercise routine is a protective factor against the development of hypertension.
Correct Answer is A
Explanation
Rationale:
A. Tenormin (Atenolol) is a beta-blocker that reduces the heart rate and may affect the results of the stress test. Therefore, it should be held the morning of the test.
B. Heparin is an anticoagulant and is not typically held before a stress test.
C. Keflex (Cephalexin) is an antibiotic and is not typically held before a stress test.
D. Holding all medications is not necessary for a stress test, but specific medications that may interfere with the test, such as beta-blockers, should be held.
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