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. An echocardiogram is a diagnostic test that uses sound waves to create images of the heart's chambers, valves, and surrounding structures, and assesses their function.
B. Fasting is not typically required for an echocardiogram.
C. Discomfort is not typically associated with an echocardiogram.
D. An echocardiogram does not typically assess the extent of blockages in the arteries.
Correct Answer is C
Explanation
Rationale:
A. This is wrong because the ECG leads show ST segment elevation.
B. Stable angina may present with ST segment depression in an ECG unlike in the strip shown above which depicts an ST segment elevation.
C. This is correct because of the ST segment elevation.
D. Unstable angina may have hyperacute T wave, flattening of the T waves, inverted T waves or an ST depression unlike in the above ECG strip.
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