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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Erectile dysfunction is a common complication following prostatectomy due to potential damage to the nerves responsible for erectile function. This can occur as a result of the surgery, particularly if the prostate is near the nerves involved in sexual function.
B. Paralytic ileus is not a common complication of prostate surgery. It is more commonly associated with abdominal surgeries.
C. Cystitis, or bladder inflammation, is not a typical complication after prostatectomy. However, urinary issues such as incontinence or urinary retention can occur.
D. Testicular torsion is unrelated to prostate surgery. It is a condition where the spermatic cord twists, cutting off blood flow to the testicle, and is not a complication of prostatectomy.
Correct Answer is D
Explanation
A. Polyphagia (increased hunger) is more commonly associated with conditions like diabetes mellitus, where there is impaired glucose regulation. It is not a typical finding in diabetes insipidus.
B. Bradycardia (slow heart rate) is not a characteristic sign of diabetes insipidus. The condition primarily affects fluid balance, leading to dehydration rather than changes in heart rate.
C. Hyperglycemia is also a hallmark of diabetes mellitus, not diabetes insipidus. Diabetes insipidus is characterized by the inability to concentrate urine, leading to excessive urination and thirst.
D. Dehydration is a common finding in diabetes insipidus. The condition causes excessive urination (polyuria) due to a deficiency of antidiuretic hormone (ADH) or resistance to it, leading to a significant loss of water and subsequent dehydration if fluid intake is not sufficient to compensate.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.