A nurse is admitting a client who reports chest pain.

Exhibits

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.

Answer and Explanation

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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. A fat embolism typically presents with respiratory distress, altered mental status, and petechial rash, not the symptoms of pale and cool toes with intact pulses. It is unlikely to cause localized pain in the toes alone.
B. Osteomyelitis is an infection of the bone and would not cause the pale, cool appearance of the toes in this scenario. Symptoms of osteomyelitis include fever, localized pain, and swelling, but it does not present with the same vascular and neurovascular changes as compartment syndrome.
C. Compartment syndrome occurs when there is increased pressure within a muscle compartment, leading to reduced blood flow. The symptoms of pale, cool toes with pain and intact pulses are indicative of impaired circulation due to increased pressure, which is a hallmark of compartment syndrome. This is a medical emergency that requires prompt intervention.
D. A pressure ulcer typically presents with localized skin damage due to prolonged pressure, but it would not cause pale, cool toes or pain in the way compartment syndrome would.

A. Temperature B. Respiratory rate C. Blood pressure D. Heart rate

Correct Answer is D

Explanation

A. Temperature is not directly used in the calculation of cardiac output. While fever can affect heart rate and cardiac output, it is not a primary factor in the calculation.
B. Respiratory rate is important for assessing overall respiratory status, but it is not a direct factor in calculating cardiac output.
C. Blood pressure is a useful measure of circulatory function but does not directly contribute to the calculation of cardiac output. Blood pressure is influenced by cardiac output, but it is not a component in its calculation.
D. Heart rate is one of the key components in calculating cardiac output, along with stroke volume. Cardiac output is calculated by multiplying the heart rate (beats per minute) by the stroke volume (the amount of blood pumped by the heart per beat). This provides the total amount of blood the heart pumps per minute.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is admitting a client who reports chest pain. Exhibits The nurse is preparing the client for the cardiac catheterization. Which of the following actions should the nurse take? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with a long leg cast reports pain in the toes. The nurse discovers that the toes are pale and cool to the touch with intact pulses and minimal neuropathy. The findings indicate that the patient may be experiencing which complications?

Correct Answer is C

Explanation

A nurse is planning to calculate a client's cardiac output. Which of the following data should the nurse obtain to calculate the cardiac output?

Correct Answer is D

Explanation

A nurse is assessing for paradoxical blood pressure on a client who has constrictive pericarditis. Which of the following findings should the nurse expect?

A nurse is assessing a client who has meningitis. Which of the following findings should the nurse expect?

A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?

The nurse plans of care for a patient who has a fractured femur. During the 24 to 48 hours after the fracture, the nurse monitors the patient for the development of which complication?

A nurse in an emergency department is assessing a client who is having a suspected acute myocardial infarction (MI). Which of the following manifestations should the nurse expect to find for a client experiencing an acute MI? (Select all that apply.)

A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). The nurse should instruct the client to avoid which of the following unsafe actions?

A nurse is preparing a community presentation about repetitive motion injuries. Which of the following occupations should the nurse identify as increasing a client's risk for carpal tunnel syndrome?

A nurse is caring for an older adult client who has had a total hip arthroplasty. Exhibits For each potential precaution, click to specify if the precaution is indicated or contraindicated for a client who has had a total hip arthroplasty.

A nurse is admitting a client who reports chest pain.

Exhibits

The nurse is preparing the client for the cardiac catheterization. Which of the following actions should the nurse take? (Select all that apply.)