A nurse is giving instructions to a patient who will have a cardiac catheterization. What should the nurse include in the teaching?

A catheter is inserted into a vein or artery and is threaded into the heart.

No consent is needed for the procedure.

The patient may go home 1 hour after the procedure.

Nothing by mouth should be administered for at least 12 hours prior to the procedure.

Answer and Explanation

The Correct Answer is A

A. "A catheter is inserted into a vein or artery and is threaded into the heart." This accurately describes the procedure, which involves threading a catheter to evaluate heart function and diagnose conditions.

B. "No consent is needed for the procedure.": Cardiac catheterization is an invasive procedure, and informed consent is always required.

C. "The patient may go home 1 hour after the procedure.": Patients are usually observed for several hours to ensure there are no complications.

D. "Nothing by mouth should be administered for at least 12 hours prior to the procedure.": NPO status is generally 6–8 hours before the procedure, not 12 hours.

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Correct Answer is C

Explanation

A. Excessive dryness: This is not a primary sign of respiratory difficulty.

B. Regular respiratory pattern: A regular pattern is indicative of normal respiration, not difficulty.

C. Use of accessory muscles: Accessory muscle use is a hallmark sign of respiratory distress, indicating increased effort to breathe.

D. Alteration in sensation: This is more associated with neurological conditions rather than respiratory issues.

A. "This small amount of bleeding is expected after the removal of polyps." B. "I will watch your husband very carefully to assess any further haemorrhage." C. "I will notify the primary care provider about this haemorrhage.” D. "Don't worry. This small amount of blood happens with these procedures."

Correct Answer is A

Explanation

A. "This small amount of bleeding is expected after the removal of polyps." Minor rectal bleeding is a common occurrence after polyp removal during a colonoscopy and generally does not indicate a complication. This reassurance helps alleviate the family’s concern.

B. "I will watch your husband very carefully to assess any further haemorrhage.": This could unnecessarily alarm the family.

C. "I will notify the primary care provider about this haemorrhage.": This overstates the concern, as slight bleeding is expected.

D. "Don't worry. This small amount of blood happens with these procedures.": This is dismissive and does not provide a professional explanation.

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A nurse is giving instructions to a patient who will have a cardiac catheterization. What should the nurse include in the teaching?

Nursing Test Bank

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