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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is D
Explanation
Rationale:
A. This is not correct since a sinus tachycardia show have a sinus P wave unlike in the strip.
B. This is incorrect since a junctional rhythm should have a regular ventricular rhythm unlike in the above strip which is irregular.
C. A first degree heart block should have a PR interval greater than 0.20 without a disruption in the atrial to ventricular conduction.
D. This is correct since the rhythm is irregular and the P waves are absent.
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