A nurse is preparing a client for a cerebral angiography. What important information should the nurse provide to the client?

"You will need to fast for at least 8 hours before the procedure."

"You may experience chest pain during the test, which is normal."

"You'll need to lie completely flat for several hours after the procedure."

"You should avoid drinking any fluids after the procedure."

Answer and Explanation

The Correct Answer is A

A) Correct - Fasting for at least 8 hours before cerebral angiography is essential to reduce the risk of aspiration during the procedure, as it involves the injection of contrast dye.

B) Incorrect - Chest pain is not a normal sensation during cerebral angiography. If chest pain occurs during the test, the client should inform the healthcare team immediately.

C) Incorrect - While some procedures, like angioplasty, require lying flat for several hours to prevent bleeding, cerebral angiography does not typically require this position after the test.

D) Incorrect - It is essential to stay hydrated after cerebral angiography to help flush out the contrast dye from the system. The client should be encouraged to drink fluids, unless contraindicated for another reason.

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Correct Answer is A

Explanation

A) Correct - Pain level assessment is essential in monitoring for aneurysm rupture because sudden, severe, and persistent pain is a common manifestation. It could indicate that the aneurysm is leaking or has ruptured, requiring immediate medical attention.

B) Incorrect - While blood pressure measurement is important in managing aneurysm, it may not be the best indicator of an imminent rupture. Some aneurysms are asymptomatic until they rupture.

C) Incorrect - Respiratory rate evaluation is not a primary assessment for aneurysm rupture. Although respiratory distress may occur due to pain or compromised blood flow after rupture, it is not the initial priority.

D) Incorrect - While monitoring urinary output is important in various clinical settings, it is not a priority assessment for aneurysm rupture. There are more specific symptoms related to aneurysm rupture that the nurse should focus on.

A. Avoid walking or leg exercises for the first week after surgery. B. Elevate the affected leg above heart level while resting. C. Apply direct pressure to the surgical incision if it starts bleeding. D. Take hot baths to relieve any leg discomfort.

Correct Answer is B

Explanation

A) Incorrect - Encouraging early ambulation and leg exercises is essential after peripheral artery bypass surgery to promote blood circulation and prevent complications like deep vein thrombosis.

B) Correct - Elevating the affected leg above heart level while resting can help reduce swelling and promote blood flow, aiding in the healing process after peripheral artery bypass surgery.

C) Incorrect - Applying direct pressure to the surgical incision if it starts bleeding may worsen the bleeding. Instead, the client should apply gentle pressure with a clean cloth and seek immediate medical attention if bleeding does not stop.

D) Incorrect - Taking hot baths is not recommended after peripheral artery bypass surgery. Heat may dilate blood vessels and increase blood flow, potentially causing complications at the surgical site.

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A nurse is preparing a client for a cerebral angiography. What important information should the nurse provide to the client?

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Naxlex Comprehensive Predictor Exams

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