A nurse is caring for a client who just had a cardiac catheterization. Which of the following nursing interventions should the nurse include in the client's plan of care? (Select all that apply.)

Measure the client's vital signs every 4 hr.

Place the client in high-Fowler's position.

Keep the client's affected extremity straight.

Ensure bedrest is maintained for the prescribed time.

Check peripheral pulses in the affected extremity.

Answer and Explanation

Correct Answer : C,D,E

A. Vital signs should be monitored more frequently than every 4 hours immediately after cardiac catheterization, often every 15 minutes initially.
B. The client should be positioned supine or with minimal elevation to avoid stress on the catheter insertion site, not in high-Fowler’s position.
C. Keeping the affected extremity straight helps prevent bleeding and dislodgement of the vascular closure.
D. Bedrest for the prescribed time is essential to promote hemostasis and prevent complications.
E. Checking peripheral pulses ensures adequate circulation and detects possible vascular complications early.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Applying a tourniquet is not recommended as it can cause tissue damage.
B. The affected extremity should be kept at or below the level of the heart to slow venom spread, not raised.
C. Starting two large-bore IVs is important for fluid resuscitation and administration of antivenom if needed.
D. Applying ice is not advised as it can worsen tissue injury.

A. Metabolic alkalosis B. Hypokalemia C. Elevated BUN D. Hypercalcemia

Correct Answer is C

Explanation

A. Acute kidney injury (AKI) typically causes metabolic acidosis, not alkalosis, due to impaired acid excretion.
B. AKI often results in hyperkalemia because the kidneys cannot excrete potassium effectively.
C. Elevated BUN is expected in AKI due to decreased kidney filtration and accumulation of nitrogenous waste.
D. Hypocalcemia, not hypercalcemia, is more common in AKI due to impaired vitamin D activation and phosphate retention.

View Question and Answer

A nurse is caring for a client who is admitted to the emergency department for fatigue.

Exhibits

Which 4 findings indicate that the client may be experiencing transplant rejection? (Select all that apply).

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who just had a cardiac catheterization. Which of the following nursing interventions should the nurse include in the client's plan of care? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a group of clients about emergency care for a snake bite. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is monitoring a client who has acute kidney injury. Which of the following laboratory findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is assessing a client who has meningitis. Which of the following findings should the nurse expect?

A nurse is caring for a client who is admitted to the emergency department for fatigue. Exhibits Which 4 findings indicate that the client may be experiencing transplant rejection? (Select all that apply).

A nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?

A nurse is caring for a client who has cirrhosis of the liver. Exhibits Which of the following assessment findings require immediate follow-up? Select all that apply.

A nurse is planning care for a client who has acute respiratory distress syndrome (ARDS). Which of the following interventions should the nurse Include in the plan?

nurse is caring for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following actions should the nurse take to reduce the risk of ventilator-associated pneumonia?

A nurse is assessing a client who is 2 weeks postoperative following a kidney transplant. Which of the following manifestations should the nurse Identify as possible organ rejection?