The nurse is caring for a diabetic client who had a Coronary Angiography two hours ago. Which of the following orders should the nurse question?

Have client lay in bed flat for 4 hours

Monitor site for bleeding and hematoma formation

Administer metformin

Administer Aspirin

Answer and Explanation

The Correct Answer is C

A. Having the client lay flat for 4 hours is appropriate. After coronary angiography, bed rest is required to prevent bleeding from the arterial puncture site, especially if a femoral approach was used.
B. Monitoring the site for bleeding and hematoma formation is correct. Bleeding is a potential complication, and frequent assessment of the catheter insertion site is necessary.
C. Administering metformin should be questioned. Metformin is contraindicated within 48 hours of receiving contrast dye because of the risk of lactic acidosis, especially in clients with impaired renal function.
D. Administering aspirin is appropriate. Aspirin is commonly prescribed to prevent clot formation after a coronary procedure.

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Correct Answer is ["120"]

Explanation

 Convert pounds to kilograms:

176 pounds / 2.2 pounds/kg = 80 kg

 Calculate the enoxaparin dose:

80 kg 1.5 mg/kg = 120 mg

 Round to the nearest whole number:

120 mg

A. Obtain intravenous access. B. Obtain the client's family history. C. Apply continuous ECG monitoring. D. Administer 02 to maintain oxygen saturation greater than 90%.

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

Explanation

Obtain intravenous (IV) access: IV access is necessary for administering medications, fluids, and emergency interventions.
Obtain the client's family history: While family history is important for long-term cardiac risk assessment, it is not a priority in the acute phase of chest pain management.
Apply continuous ECG monitoring: Continuous ECG monitoring is critical for detecting arrhythmias, ischemic changes, and potential myocardial infarction (MI).
Administer O₂ to maintain oxygen saturation greater than 90%: Oxygen therapy is indicated in clients with suspected MI if their oxygen saturation is below 90% to prevent further myocardial ischemia.

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The nurse is caring for a diabetic client who had a Coronary Angiography two hours ago. Which of the following orders should the nurse question?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a pulmonary embolism and has a new order for enoxaparin 1.5 mg/kg/dose to be administered subcutaneously every 12 hours. The client weighs 176 pounds. How many mg should the nurse administer per dose? (Round to the nearest whole number)

Correct Answer is ["120"]

Explanation

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

Explanation

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