A nurse is assisting with the plan of care for a client immediately following a cardiac catheterization with coronary angiography. An arterial closure device was used to close the access site. Which of the following interventions should the nurse recommend?
Elevate the head of the bed 45 degrees.
Limit fluid intake for 4 hr after the procedure.
Have the client rest in bed for 2 hr.
Insert an indwelling urinary catheter 1 hr post procedure.
The Correct Answer is C
A. Elevate the head of the bed 45 degrees. The head of the bed should not be elevated this high, as this can increase pressure on the arterial access site, risking bleeding or disruption of the closure device.
B. Limit fluid intake for 4 hr after the procedure. Fluids should actually be encouraged to help flush out contrast dye used during the procedure and to maintain hydration. Limiting fluids could increase the risk of renal complications.
C. Have the client rest in bed for 2 hr. Bed rest is typically required after cardiac catheterization, especially with the use of an arterial closure device. Two hours is a reasonable time for initial bed rest following the procedure.
D. Insert an indwelling urinary catheter 1 hr post procedure. A urinary catheter is not routinely required after a cardiac catheterization unless there are specific medical indications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Schedule an appointment for a prostate-specific antigen (PSA) test. PSA screening is typically considered for men aged 50 and older, or earlier for those with higher risk factors like family history. Since the client does not mention any risk factors, this option is not a priority.
B. Schedule his next appointment for 1 year from now. While it is standard for clients without significant health issues to have annual exams, the nurse should prioritize education on risk factors related to hypertension, given the client's slightly elevated blood pressure.
C. Provide information about how to reduce risk factors of hypertension. Even though the client's blood pressure is in the elevated category, it is important to educate him about how to reduce the risk of developing hypertension, particularly since he is African-American, which is a population at higher risk for hypertension.
D. Provide information for a weight loss plan that includes increasing physical activity. The client has a normal BMI of 24, so weight loss would not be necessary. However, regular physical activity is important for overall cardiovascular health.
Correct Answer is ["A","C"]
Explanation
A. Monitor your blood pressure on a regular basis: Regular monitoring of blood pressure is important for clients taking lisinopril to ensure the medication is effectively controlling hypertension.
B. Your cholesterol levels must be monitored monthly while taking this medication: Lisinopril does not typically require monthly cholesterol monitoring. This instruction is more relevant for statins or other lipid-lowering agents.
C. Report the development of a persistent dry cough.: A dry cough is a common side effect of ACE inhibitors like lisinopril. Clients should report this side effect as it may necessitate discontinuing the medication.
D. Your diet should include plenty of potassium-rich foods daily: Lisinopril can increase potassium levels, potentially causing hyperkalemia. Clients should be advised to avoid excessive potassium intake, not to increase it.
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