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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

Answer and Explanation

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.

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Correct Answer is ["C","D"]

Explanation

Rationale:

A. A BMI of 20 is not typically considered a risk factor for deep vein thrombosis.

B. High calcium intake is not typically considered a risk factor for deep vein thrombosis.

C. Oral contraceptive use is a risk factor for deep vein thrombosis due to the estrogen content.

D. Immobility is a risk factor for deep vein thrombosis due to decreased venous return.

E. Hypertension is not typically considered a risk factor for deep vein thrombosis.

A. Synchronized Cardioversion B. Repeat electrocardiogram (ECG) C. Assessment of blood pressure D. Immediate Defibrillation

Correct Answer is D

Explanation

Rationale:

A. Synchronized cardioversion is not appropriate for pulseless ventricular tachycardia.

B. A repeat ECG is not necessary for pulseless ventricular tachycardia.

C. Assessment of blood pressure is not the priority in pulseless ventricular tachycardia.

D. Immediate defibrillation is the priority in pulseless ventricular tachycardia to restore a perfusing rhythm.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is giving a presentation about preventing deep-vein thrombosis (DVT). Which of the following should the nurse include as a risk factor for this disorder? (Select all that apply.)

Correct Answer is ["C","D"]

Explanation

A nurse is caring for a client who is in pulseless ventricular tachycardia (V-Tach). The nurse recognizes the need for which priority intervention?

Correct Answer is D

Explanation

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Identify the following Cardiac Rhythm:

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