A nurse is caring for a client immediately following a cardiac catheterization through the right femoral artery. Which of the following actions should the nurse take?

Monitor the client's vital signs once every hour.

Restrict the client's fluid intake.

Elevate the head of the client's bed to a 45° angle.

Instruct the client not to bend the affected leg.

Answer and Explanation

The Correct Answer is D

A. Vital signs should be monitored more frequently immediately after cardiac catheterization to detect any complications early, such as bleeding or changes in hemodynamic status.

B. Fluid intake is not typically restricted unless specified by the provider due to specific medical conditions or complications.

C. The head of the bed should generally be kept flat or at a minimal angle (15-30 degrees) to reduce the risk of bleeding or hematoma formation at the catheterization site.

D. Instructing the client not to bend the affected leg helps prevent complications such as bleeding from the femoral artery or formation of a hematom

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Correct Answer is B

Explanation

A. Intrinsic factor is related to vitamin B12 absorption and is not directly affected by gout.

B. Elevated uric acid levels are characteristic of acute gout, as gout is caused by the accumulation of uric acid crystals in the joints.

C. Chloride levels are not specifically related to gout and are not typically elevated in this condition.

D. Creatinine kinase is an enzyme associated with muscle damage, not specifically related to gout.

A. Plan to open packages for the client when they show difficulty. B. Inform the client to limit the use of nutritional supplements. C. Provide paraffin treatment for the client. D. Encourage the client to limit hand and finger exercises.

Correct Answer is C

Explanation

A. While assisting with tasks can be helpful, it does not address the underlying stiffness and may not encourage independence.

B. Limiting nutritional supplements is not typically related to managing stiffness in rheumatoid arthritis.

C. Paraffin treatment is effective in relieving stiffness and pain in the hands of clients with rheumatoid arthritis by increasing blood flow and relaxing muscles.

D. Encouraging the client to limit hand and finger exercises is not appropriate; maintaining movement and strength through gentle exercises is beneficial for managing stiffness.

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A nurse is caring for a client immediately following a cardiac catheterization through the right femoral artery. Which of the following actions should the nurse take?

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