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A nurse is caring for a client post cardiac catheterization via the right groin site. The nurse is aware that which of the following findings needs to be reported to the interventional cardiologist as soon as it is identified.

Swelling at the insertion site and cool extremity

Oozing blood from the insertions site

The client has not voided since returning to recovery.

Blood pressure reading of 110/70 and heart rate of 90

Answer and Explanation

The Correct Answer is A

Rationale:

A. Swelling at the insertion site and cool extremity may indicate bleeding or hematoma formation at the site.

B. Oozing blood from the insertion site is expected immediately after a cardiac catheterization.

C. The client has not voided since returning to recovery is not related to the cardiac catheterization.

D. Blood pressure reading of 110/70 and heart rate of 90 are within normal limits.

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Correct Answer is A

Explanation

Rationale:

A. Sudden weakness of one arm and leg may indicate a stroke, which is a potential complication of atrial fibrillation.

B. An irregular heart rate without P waves is characteristic of atrial fibrillation and is expected.

C. Cloudy and odorous urine may indicate a urinary tract infection but is not the priority in this case.

D. An aPTT of 80 seconds is within the therapeutic range for heparin therapy.

A. Nitroglycerin B. Carvedilol C. Atorvastatin D. Metformin

Correct Answer is D

Explanation

Rationale:

A. Nitroglycerin does not interact with contrast material.

B. Carvedilol does not interact with contrast material.

C. Atorvastatin does not interact with contrast material.

D. Metformin can interact with contrast material and increase the risk of acute kidney injury. It is typically held before and after procedures involving contrast material.

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A nurse is caring for a client post cardiac catheterization via the right groin site. The nurse is aware that which of the following findings needs to be reported to the interventional cardiologist as soon as it is identified.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client diagnosed with atrial fibrillation and is receiving heparin. Which of the following findings is the nurse's priority?

Correct Answer is A

Explanation

A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?

Correct Answer is D

Explanation

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