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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
A. Have a personal experience of a similar nature: While personal experience can help, it is not required and may lead to projection of personal emotions onto the family.
B. Read a number of articles about death and dying: Knowledge is helpful, but it is not a substitute for emotional preparedness and personal reflection.
C. Have an understanding that all people deal with death in due time: True, but it does not directly prepare the nurse to support grieving families.
D. Deal with personal feelings about death and dying. Nurses must confront and manage their personal feelings to provide unbiased and empathetic support to grieving families.
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