A nurse is admitting a client who reports chest pain.
The nurse is preparing the client for the cardiac catheterization. Which of the following actions should the nurse take? (Select all that apply.)
Obtain the client's vital signs.
Witness the client's signature on the Informed consent form.
Confirm the client's allergies.
inform the client of the risks of the procedure.
Mark the surgical site.
Correct Answer : A,B,C
A. Obtain the client's vital signs: This is correct. Vital signs should be assessed to monitor the client's cardiovascular status before any invasive procedure, especially in the context of a myocardial infarction.
B. Witness the client's signature on the informed consent form: This is correct. The nurse should witness the client's signature on the informed consent form, ensuring that the client understands the procedure and consents to it.
C. Confirm the client's allergies: This is correct. Confirming allergies is crucial before any procedure to prevent allergic reactions to medications, contrast dye, or other substances used during the procedure.
D. Inform the client of the risks of the procedure: This is incorrect. It is the responsibility of the provider to explain the risks of the procedure in detail to the client. The nurse ensures that the client understands and that consent is given, but the nurse does not provide the detailed explanation of risks.
E. Mark the surgical site: This is incorrect. Marking the surgical site is typically done by the provider, not the nurse, and is required only if a surgical procedure is being performed, which is not the case for a cardiac catheterization.
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Related Questions
Correct Answer is C
Explanation
A. Insulin glargine is a long-acting insulin used for basal control in diabetes management. It is not appropriate for the acute treatment of diabetic ketoacidosis (DKA), where rapid correction of hyperglycemia is needed.
B. Insulin detemir is another long-acting insulin, similar to insulin glargine, and is not suitable for the emergency treatment of DKA.
C. Regular insulin is the preferred choice for treating diabetic ketoacidosis. It is a short-acting insulin that can be administered intravenously to rapidly lower blood glucose levels and correct the metabolic acidosis associated with DKA.
D. NPH insulin is an intermediate-acting insulin and is not typically used in the acute setting of DKA. It has a slower onset and longer duration of action, which is not ideal for rapid correction in an emergency situation.
Correct Answer is B
Explanation
A. Hypermagnesemia: This condition can cause muscle weakness or lethargy, but it is not typically associated with muscle cramping.
B. Hypocalcemia: Muscle cramping is a common sign of hypocalcemia, which can occur in acute pancreatitis due to the precipitation of calcium in the pancreas or the surrounding tissues. Hypocalcemia leads to neuromuscular irritability, causing muscle spasms and cramping.
C. Dehydration: Dehydration can lead to muscle weakness, but muscle cramping is more commonly associated with electrolyte imbalances like hypocalcemia.
D. Hyperkalemia: While hyperkalemia can cause muscle weakness or even paralysis, it is not typically associated with muscle cramping.
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