A client has undergone a right femoral cardiac catheterization. What nursing action is the priority following the procedure?

Complete a neurovascular check of the affected extremity.

Perform passive range of motion.

Assess the gag reflex prior to feeding the client.

Keep the client in high Fowler's position.

Answer and Explanation

The Correct Answer is A

A. Complete a neurovascular check of the affected extremity: Neurovascular assessment ensures that blood flow and nerve function are intact post-procedure. Complications such as arterial occlusion or hematoma can cause ischemia or nerve damage, making this the priority.

B. Perform passive range of motion: This is not a priority and may not be appropriate immediately post-catheterization as movement of the extremity can increase the risk of bleeding.

C. Assess the gag reflex prior to feeding the client: This applies to clients recovering from sedation during procedures like endoscopy, not cardiac catheterization.

D. Keep the client in high Fowler's position: This is contraindicated post-cardiac catheterization, as elevating the head too much can increase pressure at the puncture site and lead to bleeding.

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Correct Answer is B

Explanation

A. Congenital valve abnormalities: Although congenital heart defects can cause aortic stenosis, rheumatic fever is a more common cause in adults.

B. Rheumatic fever: Rheumatic fever is the most common cause of aortic stenosis in adults, as it can lead to scarring and narrowing of the aortic valve.

C. Autoimmune deficiency syndrome: This is not associated with aortic stenosis.

D. Degenerative calcification of valve: This is a common cause of aortic stenosis in older adults, but it is generally less common than rheumatic fever as the primary cause in a younger or middle-aged population.

A. First degree heart block B. Second degree heart block C. Bundle branch block D. Sinus arrhythmia

Correct Answer is A

Explanation

A. First-degree heart block: A prolonged PR interval greater than 0.20 seconds, as seen in this case, indicates first-degree heart block, which is a delay in conduction at the AV node.

B. Second-degree heart block. Second-degree heart block is characterized by some PR intervals being prolonged with occasional dropped beats (non-conducted P waves).

C. Bundle branch block. Bundle branch block causes a wide QRS complex (greater than 0.12 seconds), which is not seen here.

D. Sinus arrhythmia. Sinus arrhythmia involves changes in heart rate due to respiratory cycles, not prolonged PR intervals.

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A client has undergone a right femoral cardiac catheterization. What nursing action is the priority following the procedure?

Nursing Test Bank

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