A nurse is caring for a client post-cardiac catheterization with a right radial artery puncture site. The nurse performs which priority assessment on arrival to the unit?

Place a pressure dressing over the site.

Have the client flex and extend the right wrist.

Place the patient on oxygen.

Assess the trans-radial (TR) band.

Answer and Explanation

The Correct Answer is D

A. A pressure dressing is already in place following the procedure, and additional dressing is not the priority. Instead, monitoring the TR band for bleeding or complications is essential.
B. Having the client flex and extend the right wrist is not recommended immediately after a radial artery catheterization, as movement can increase the risk of bleeding.
C. Oxygen therapy is not routinely required unless the client has hypoxia or respiratory distress.
D. Assessing the trans-radial (TR) band is the priority to ensure proper hemostasis at the puncture site, monitor for bleeding, and check distal circulation to the hand.

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Correct Answer is ["A","B","C","E","F"]

Explanation

A. Location of the pain is an essential component of assessing cardiac pain, as MI-related pain is often described as substernal or radiating.
B. Distribution refers to how the pain spreads, such as from the chest to the jaw, neck, back, or arms, which is common in an MI.
C. Intensity helps determine the severity of pain and is often rated on a scale from 0 to 10.
D. While identifying factors that alleviate pain is important for overall assessment, it is not a core component of the initial pain assessment for MI.
E. Onset refers to when the pain began and whether it occurred suddenly or gradually, which helps in determining the cause.
F. Radiation is a critical aspect of cardiac pain assessment, as MI pain often radiates to the left arm, jaw, or back.

A. R-R is irregular B. There are absent P waves C. PR interval greater than 0.20 seconds in duration. D. The PR interval gets longer then drops.

Correct Answer is C

Explanation

A. First-degree heart block has a regular R-R interval, meaning the rhythm is typically regular.
B. The presence of P waves is a distinguishing feature of first-degree heart block. Absent P waves are more characteristic of atrial fibrillation or junctional rhythms.
C. First-degree heart block is characterized by a prolonged PR interval greater than 0.20 seconds, but all impulses are still conducted to the ventricles.
D. A progressively lengthening PR interval followed by a dropped QRS complex is indicative of second-degree Mobitz Type I (Wenckebach) heart block, not first-degree heart block.

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A nurse is caring for a client post-cardiac catheterization with a right radial artery puncture site. The nurse performs which priority assessment on arrival to the unit?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is having an acute myocardial infarction (MI). The nurse is aware that which of the following are part of the assessment of cardiac pain? (SELECT ALL THAT APPLY).

Correct Answer is ["A","B","C","E","F"]

Explanation

A nurse is reviewing cardiac rhythms and heart blocks for a critical care course. The nurse is aware that which of the following describes first-degree heart block?

Correct Answer is C

Explanation

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