A nurse is assisting with the care of a client following a cerebral angiography. Which of the following actions should the nurse take?

Apply a warm pack to the client's puncture site.

Monitor for bleeding at the catheter site.

Replace the client's pressure dressing in 2 hr.

Encourage the client to ambulate in 1 hr.

Answer and Explanation

The Correct Answer is B

A. Apply a warm pack to the client's puncture site. Applying a warm pack to the puncture site is not appropriate immediately following cerebral angiography. Cold compresses are generally recommended initially to reduce swelling and discomfort, while warmth may be used later as advised by the healthcare provider.
B. Monitor for bleeding at the catheter site. Monitoring for bleeding at the catheter site is a critical action after cerebral angiography. The nurse should assess the site frequently for signs of hematoma or excessive bleeding, which can indicate complications from the procedure.
C. Replace the client's pressure dressing in 2 hr. The pressure dressing should not be replaced without specific orders from the healthcare provider. The nurse should assess the dressing for any signs of bleeding or drainage and follow the protocol for dressing changes as indicated.
D. Encourage the client to ambulate in 1 hr. Early ambulation may not be safe immediately after cerebral angiography, especially if the client has undergone a procedure involving sedation or if there is a risk of complications. The nurse should follow the provider's orders regarding activity restrictions and assess the client's readiness for ambulation based on their condition and vital signs.

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Correct Answer is D

Explanation

A. "You should only drink 2 cups of coffee per day." While limiting coffee intake can be beneficial for some individuals with GERD, the recommendation should focus on overall caffeine intake rather than a specific amount. Caffeine can relax the lower esophageal sphincter and exacerbate symptoms, so some individuals may need to eliminate it entirely.
B. "You should eat three large meals and two snacks per day." Eating large meals can increase intra-abdominal pressure and exacerbate GERD symptoms. Instead, clients should be encouraged to eat smaller, more frequent meals throughout the day to help minimize reflux.
C. "You should lay down for 1 hour following a meal." Laying down after eating can increase the likelihood of reflux and heartburn. Clients should be advised to remain upright for at least 2 to 3 hours after meals to help prevent symptoms.
D. "You should elevate the head of the bed while sleeping." Elevating the head of the bed is a recommended practice for clients with GERD. This position can help prevent nighttime reflux by allowing gravity to keep stomach acid from rising into the esophagus, thereby reducing symptoms and improving sleep quality.

A. "I am thankful I am done having children." B. "I will have a large scar on my stomach after this procedure." C. "I should expect my periods to resume in 1 month." D. "I will no longer need a regular gynecological examination."

Correct Answer is A

Explanation

A. "I am thankful I am done having children." This statement indicates that the client understands a key consequence of a hysterectomy—permanent infertility. Understanding the implications of the procedure is an essential component of informed consent, demonstrating that the client has received and comprehended relevant information.
B. "I will have a large scar on my stomach after this procedure." A vaginal hysterectomy is performed through the vaginal canal, meaning there will be no abdominal incision or visible scar. This statement reflects a misunderstanding of the surgical approach, indicating that the client may not have fully understood the procedure.
C. "I should expect my periods to resume in 1 month." A hysterectomy involves the removal of the uterus, which results in the permanent cessation of menstruation. This statement suggests that the client does not fully understand the effects of the procedure, which is inconsistent with informed consent.
D. "I will no longer need a regular gynecological examination." Even after a hysterectomy, regular gynecological exams remain important, especially if the cervix or ovaries are retained. These exams help monitor overall reproductive health and screen for conditions such as ovarian cancer or vaginal atrophy. This statement indicates misinformation about postoperative care.

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