A nurse is caring for a client immediately following a cardiac catheterization with a femoral artery approach. Which of the following actions should the nurse take?
Remind the client not to turn from side to side.
Check pedal pulses every 15 min.
Keep the client in high-Fowler's position for 6 hr.
Perform passive range-of-motion for the affected extremity.
The Correct Answer is B
Choice A rationale:
Reminding the client not to turn from side to side is not the most appropriate action. While it is important to limit movement after a cardiac catheterization, it is not the most critical action.
Choice B rationale:
Checking pedal pulses every 15 min is the most appropriate action. This is to monitor for signs of vascular compromise, which can occur after a cardiac catheterization with a femoral artery approach.
Choice C rationale:
Keeping the client in high-Fowler’s position for 6 hr is not the most appropriate action. While positioning can be important, it is not the most critical action after a cardiac catheterization with a femoral artery approach.
Choice D rationale:
Performing passive range-of-motion for the affected extremity is not the most appropriate action. While it is important to maintain mobility, it is not the most critical action after a cardiac catheterization with a femoral artery approach.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The provider prescribes 20 mEq of KCL. The bottle is labeled as 10 mEq/mL. Therefore, to administer 20 mEq, the nurse should give 2 mL (20 mEq ÷ 10 mEq/mL = 2 mL).
Choice B rationale:
Administering 2.5 mL would give 25 mEq of KCL, which is more than the prescribed dose.
Choice C rationale:
Administering 1.5 mL would give 15 mEq of KCL, which is less than the prescribed dose.
Choice D rationale:
Administering 1 mL would give 10 mEq of KCL, which is half the prescribed dose.
Correct Answer is D
Explanation
Choice A rationale:
While pressure can be applied to the hands in reflexology, it is not the main area of focus.
Choice B rationale:
The back is not the main area where pressure is applied in reflexology.
Choice C rationale:
The head is not the main area where pressure is applied in reflexology.
Choice D rationale:
Reflexology mainly involves applying pressure to specific areas on the feet, which are believed to correspond to different parts of the body.
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