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.

Answer and Explanation

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.

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Correct Answer is {"A":{"answers":"A,B,C"},"B":{"answers":"A,B,C"},"C":{"answers":"A,B,C"},"D":{"answers":"A,B"}}

Explanation

Assessment Findings	Sprain	Fracture	Dislocation
Ecchymosis	✅	✅	✅
Pain level	✅	✅	✅
Edema	✅	✅	✅
Sensation	✅	✅

Rationale:

Ecchymosis (bruising):

Sprain: Common due to soft tissue damage.

Fracture: Frequently present due to bone and soft tissue injury.

Dislocation: Bruising often accompanies joint dislocation.

Pain level:

Sprain: Moderate pain, often exacerbated by movement.

Fracture: Pain is typically sharp and worsens with movement or weight-bearing.

Dislocation: Severe pain due to misalignment of the joint.

Edema:

Sprain: Common due to inflammation from ligament injury.

Fracture: Swelling is typical around the fracture site.

Dislocation: Edema occurs due to joint misalignment and tissue trauma.

Sensation (tingling):

Sprain: Nerve compression or irritation may cause tingling.

Fracture: Tingling can result from nerve involvement or swelling near the fracture site.

Dislocation: Tingling is less common unless nerve damage occurs, which is more serious and often leads to numbness or motor impairment.

A. Exclude nutritional supplements from the list of medications the client reports. B. Encourage the client to make his own list after he returns to his home. C. Compare new prescriptions with the list of medications the client reports. D. Include any adverse effects of the medications the client might develop.

Correct Answer is C

Explanation

A. Exclude nutritional supplements from the list of medications the client reports: Incorrect. Nutritional supplements are medications and should be included in the medication reconciliation process.

B. Encourage the client to make his own list after he returns to his home: Incorrect. The nurse should be responsible for gathering the complete medication history upon admission, not relying on the client’s list from home.

C. Compare new prescriptions with the list of medications the client reports: This is the correct step in medication reconciliation. The nurse needs to ensure that new medications are compatible with the client's current medications and review any changes.

D. Include any adverse effects of the medications the client might develop: Incorrect. Adverse effects are not part of the medication reconciliation process; the focus is on identifying all current medications, including prescriptions, over-the-counter drugs, and supplements.

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A nurse is preparing a client to undergo a cardiac catheterization. Which of the following tasks should the nurse perform prior to the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"A,B,C"},"B":{"answers":"A,B,C"},"C":{"answers":"A,B,C"},"D":{"answers":"A,B"}}

Explanation

A nurse is admitting a client to a medical-surgical unit. When performing medication reconciliation for the client, which of the following actions should the nurse take?

Correct Answer is C

Explanation

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