A nurse is assisting with the care of a client following a left femoral cardiac angiography. The nurse should place a sandbag on the client over which of the following areas?
Right groin area
Left Groin area
Right ankle
Left ankle
The Correct Answer is B
A. The right groin area is not the site of the procedure, so placing a sandbag here would not help control bleeding or pressure.
B. The sandbag should be placed over the left groin area where the femoral artery was accessed during the angiography. This helps apply pressure to prevent bleeding from the site and promote clot formation.
C. The right ankle is irrelevant to the procedure and would not require pressure.
D. Similarly, the left ankle has no relation to the femoral angiography site.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Acetylcysteine is an antidote for acetaminophen overdose and is not related to reversing heparin effects.
B. Protamine sulfate is the specific antidote for heparin and is used to reverse its anticoagulant effects in cases of overdose or when surgery is needed.
C. Vitamin K is used to reverse the effects of anticoagulants like warfarin, not heparin, making it incorrect in this context.
D. Deferoxamine is used to treat iron toxicity and has no relevance to heparin reversal, making this option incorrect.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A,B,C"},"D":{"answers":"A,B,C"},"E":{"answers":"A"}}
Explanation
Assessment Findings and Rationale
1. Ambulation Pattern
Parkinson's Disease: The slow and shuffling gait is characteristic of Parkinson's disease due to muscle rigidity and bradykinesia (slowness of movement). Patients often exhibit a stooped posture and a shuffling gait.
2. Muscle Movements
Parkinson's Disease: Unilateral resting tremors and generalized muscle stiffness are hallmark signs of Parkinson's disease, which affects motor control due to basal ganglia degeneration. As the disease progresses, bilateral tremors and stiffness develop.
3. Speech
Parkinson's Disease: Slow and slurred speech is common in Parkinson's disease as a result of muscle rigidity affecting speech production.
Stroke: Speech difficulties such as slurred speech may also occur in stroke patients due to dysarthria, which arises from motor control deficits.
Multiple Sclerosis: Speech issues, including slurred speech, can also be seen in multiple sclerosis due to neurological involvement and muscle control issues.
4. Orientation Status
Parkinson's Disease: Disorientation to date and time can be seen in later stages of Parkinson's disease as cognitive decline may accompany the motor symptoms.
Stroke: Cognitive deficits, including disorientation, can result from stroke, especially if it affects the areas of the brain responsible for cognition.
Multiple Sclerosis: Orientation issues may also occur in multiple sclerosis as cognitive impairment can be part of the disease process.
5. Facial Rigidity
Parkinson's Disease: Facial rigidity, often described as a "masked face," is a classic symptom of Parkinson's disease, resulting from decreased facial muscle control.
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