A nurse is evaluating a client who had a left-sided cardiac catheterization with an upper extremity insertion site.
Which of the following actions should the nurse take?

Encourage the client to ambulate within 30 min following the procedure.

Keep the client NPO for at least 2 hr following the procedure.

Assess pulses in the client's affected arm.

Apply light pressure to the insertion site.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Encouraging the client to ambulate within 30 minutes following the procedure is not recommended as it could lead to complications such as bleeding or hematoma at the insertion site.

Choice B rationale

Keeping the client NPO for at least 2 hours following the procedure is not typically necessary and does not relate directly to the care required after a cardiac catheterization.

Choice C rationale

Assessing pulses in the client's affected arm is crucial to ensure that there is adequate blood flow and no compromise in circulation following the procedure.

Choice D rationale

Applying light pressure to the insertion site may help in preventing bleeding initially, but it is more critical to monitor for signs of bleeding or hematoma formation over time. .

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Correct Answer is B

Explanation

Choice A rationale

Hypokalemia involves low potassium levels and is not treated with sodium polystyrene sulfonate. This drug is used to treat elevated potassium levels.

Choice B rationale

Hyperkalemia indicates high potassium levels in the blood. Sodium polystyrene sulfonate (Kayexalate) works by exchanging sodium ions for potassium ions in the intestines, thereby lowering blood potassium levels.

Choice C rationale

Hyponatremia, or low sodium levels, is not treated with sodium polystyrene sulfonate, which targets potassium removal.

Choice D rationale

Hypocalcemia refers to low calcium levels and is unrelated to the action of sodium polystyrene sulfonate, which addresses potassium imbalance.

A. Radiating pain to the left arm. B. Shortness of breath. C. Headache. D. Nausea and vomiting.

Correct Answer is A

Explanation

Choice A rationale

Radiating pain to the left arm is a classic symptom of a myocardial infarction (MI) due to referred pain from the heart.

Choice B rationale

Shortness of breath can also be associated with MI but is not as specific as radiating pain to the left arm.

Choice C rationale

Headache is not a typical symptom of an MI. It is more commonly associated with other conditions.

Choice D rationale

Nausea and vomiting can occur with an MI but are not as specific as radiating pain to the left arm.

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A nurse is evaluating a client who had a left-sided cardiac catheterization with an upper extremity insertion site.Which of the following actions should the nurse take?

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A nurse is evaluating a client who had a left-sided cardiac catheterization with an upper extremity insertion site.
Which of the following actions should the nurse take?