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.
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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Related Questions
Correct Answer is C
Explanation
Choice A rationale
Administering post-procedure antibiotics is not typically required for a bronchoscopy unless there is evidence of infection. The procedure itself does not inherently pose a high risk of infection requiring antibiotics as a preventative measure.
Choice B rationale
Providing pre-procedure sedation is important to ensure the client is comfortable and relaxed during the bronchoscopy. This helps minimize discomfort and anxiety associated with the procedure.
Choice C rationale
Ensuring the client is NPO (nothing by mouth) for a specific period before the procedure is crucial to prevent aspiration. Aspiration can occur if the client has food or liquid in their stomach, posing a serious risk during the insertion of the bronchoscope.
Choice D rationale
Encouraging the client to drink plenty of fluids before the procedure is not appropriate because the client needs to be NPO to prevent aspiration risks during the bronchoscopy.
Correct Answer is A
Explanation
Choice A rationale
Monitoring blood glucose levels more frequently is critical when a client with type 1 diabetes is taking prednisone, as corticosteroids can raise blood glucose levels and potentially cause hyperglycemia.
Choice B rationale
Increasing sodium intake is not recommended for clients with type 1 diabetes and is unrelated to the management of prednisone-induced hyperglycemia.
Choice C rationale
Stopping all other diabetes medications is inappropriate and can lead to uncontrolled blood glucose levels. Adjustments may be needed, but discontinuation is not advised without medical supervision.
Choice D rationale
Skipping meals to prevent hyperglycemia is not a safe practice for clients with type 1 diabetes. Maintaining a balanced diet and monitoring blood glucose levels is essential.
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