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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

Being inquisitive might make the patient feel interrogated and could discourage them from disclosing their herbal use.

Choice B rationale:

A non-judgmental approach encourages open communication and makes the patient feel comfortable to disclose their herbal use.

Choice C rationale:

Being determined might make the patient feel pressured and could discourage them from disclosing their herbal use.

Choice D rationale:

Being instructive might make the patient feel lectured and could discourage them from disclosing their herbal use.

A. In the nurses' station while reviewing the provider's prescription. B. At the client's bedside before administration. C. At the time of documentation. D. In the area where the nurse obtained the medication.

Correct Answer is B

Explanation

Choice A rationale:
Checking the medication at the nurses’ station does not ensure that the right medication is given to the right client.
Choice B rationale:
Checking the medication at the client’s bedside ensures that the right medication is given to the right client.
Choice C rationale:
Checking the medication at the time of documentation is too late to prevent medication errors.
Choice D rationale:
Checking the medication in the area where the nurse obtained the medication does not ensure that the right medication is given to the right client.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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