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
The correct answer is choicea. Asian ginseng.
Choice A rationale:
Asian ginseng is known to enhance the effect of anticoagulants like Coumadin (warfarin).It can increase the risk of bleeding by potentiating the anticoagulant effect.
Choice B rationale:
Cayenne contains salicylates, which have blood-thinning properties, but it is not as well-documented for enhancing the effect of anticoagulants as Asian ginseng.
Choice C rationale:
Aloe vera is not known to significantly affect anticoagulant medications.It is primarily used for its soothing and healing properties on the skin.
Choice D rationale:
Kava is primarily used for its sedative and anxiolytic effects.It does not have a significant impact on anticoagulant medications.
Correct Answer is ["1140"]
Explanation
To calculate the total intake, we need to convert all measurements to mL. 1 oz is approximately 30 mL, 1 cup is approximately 240 mL. So, 4 oz of soda is 120 mL, 12 oz of water is 360 mL, 1 cup of gelatin is 240 mL, and 1/2 cup of broth is 120 mL. Adding these to the 300 mL of IV fluid gives us 1140 mL. However, the toast is not a liquid and cannot be measured in mL, so it is not included in the total intake.
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