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 A

Explanation

A. Bilirubin: Elevated bilirubin levels are a primary indicator of liver dysfunction, as the liver processes and clears bilirubin.

B. Blood urea nitrogen (BUN): BUN assesses kidney function, not liver function.

C. Creatinine: Creatinine is a measure of kidney health.

D. Creatinine kinase (CK): CK levels indicate muscle or heart damage, not liver function.

A. On his right side lying for 2 hours. B. Supine for 3 hours. C. Prone for 1 hour. D. On his left side lying for 4 hours.

Correct Answer is A

Explanation

A. On his right side lying for 2 hours. Placing the patient on the right side applies pressure to the biopsy site, reducing the risk of bleeding from the liver.

B. Supine for 3 hours: Does not apply targeted pressure to the biopsy site, increasing bleeding risk.

C. Prone for 1 hour: This position is not relevant to liver biopsy care.

D. On his left side lying for 4 hours: Incorrect, as it does not apply pressure to the biopsy site on the right side.

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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?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

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