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.
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Related Questions
Correct Answer is C
Explanation
A. Check the client's blood pressure. While it is important to monitor vital signs after surgery, checking blood pressure is not the first action unless the client is showing signs of instability.
B. Check the client's IV catheter insertion site. Assessing the IV site is important for identifying complications such as infiltration or phlebitis, but this is not the priority.
C. Check the level of the client's pain. Pain assessment is the priority because unmanaged pain can affect recovery and indicate complications such as bleeding or infection. Managing pain is crucial in the postoperative period.
D. Check the client's bowel sounds. Assessing bowel sounds is important following abdominal surgery, but it is not the first priority compared to pain assessment.
Correct Answer is C
Explanation
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.
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