A nurse is preparing a client to undergo a cardiac catheterization. Which of the following tasks should the nurse perform prior to the procedure?
Draw blood specimens for culture and sensitivity.
Administer nitroglycerin 0.4 mg SL 30 min before the procedure.
Obtain a CBC with differential.
Transport the client to radiology for a CT scan.
The Correct Answer is C
A. Draw blood specimens for culture and sensitivity: Incorrect. Blood cultures are not routinely required for cardiac catheterization.
B. Administer nitroglycerin 0.4 mg SL 30 min before the procedure: Incorrect. Nitroglycerin is not typically administered before a cardiac catheterization unless specifically ordered.
C. Obtain a CBC with differential: A complete blood count (CBC) is necessary before a cardiac catheterization to assess for potential bleeding risks, infection, or anemia.
D. Transport the client to radiology for a CT scan: Incorrect. Cardiac catheterization is performed in a specialized cardiac catheterization lab, not in radiology.
Nursing Test Bank
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Correct Answer is D
Explanation
A. Soiled linens can be handled with standard precautions, and radioactive materials are typically not present in linens unless they are contaminated.
B. The radioactive source should not be discarded in the trash; it must be handled according to specific safety protocols.
C. An isolation gown is not necessary unless direct contact with the radioactive source is anticipated.
D. Keeping visitors at least 6 feet away is a precaution to limit exposure to radiation from the brachytherapy source.
Correct Answer is A
Explanation
A. Ensuring the client has an alert system addresses immediate safety and the risk of falls, which is a priority for a client with mobility impairments.
B. Support groups are beneficial for emotional support but are secondary to physical safety.
C. Transportation resources are important but do not address the urgent need for fall prevention.
D. Home physical therapy is important for recovery but does not immediately ensure the client's safety.
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