A nurse is caring for a client post-cardiac catheterization with a right radial artery puncture site. The nurse performs which priority assessment on arrival to the unit?

Place a pressure dressing over the site.

Have the client flex and extend the right wrist.

Place the patient on oxygen.

Assess the trans-radial (TR) band.

Answer and Explanation

The Correct Answer is D

A. A pressure dressing is already in place following the procedure, and additional dressing is not the priority. Instead, monitoring the TR band for bleeding or complications is essential.
B. Having the client flex and extend the right wrist is not recommended immediately after a radial artery catheterization, as movement can increase the risk of bleeding.
C. Oxygen therapy is not routinely required unless the client has hypoxia or respiratory distress.
D. Assessing the trans-radial (TR) band is the priority to ensure proper hemostasis at the puncture site, monitor for bleeding, and check distal circulation to the hand.

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Correct Answer is A

Explanation

A. Counting the number of QRS complexes in a 6-second strip and multiplying by 10 provides an estimate of the heart rate per minute.
B. Measuring T waves is used to assess repolarization abnormalities, not to determine heart rate.
C. While the monitor provides a heart rate reading, manual calculation is essential for verifying accuracy.
D. P waves indicate atrial activity but are not used to calculate the overall heart rate.

A. IV Nitroglycerine. B. IV Heparin C. Metoprolol (beta blockers) D. Alteplase (fibrinolytics)

Correct Answer is A

Explanation

A. IV Nitroglycerine is a vasodilator that improves coronary blood flow, reduces myocardial oxygen demand, and relieves chest pain in AMI.
B. IV Heparin is an anticoagulant that prevents further clot formation but does not dilate blood vessels.
C. Metoprolol, a beta-blocker, reduces heart rate and myocardial oxygen demand but does not cause coronary vasodilation.
D. Alteplase (fibrinolytic) helps dissolve clots in acute STEMI but does not directly dilate coronary arteries.

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A nurse is caring for a client post-cardiac catheterization with a right radial artery puncture site. The nurse performs which priority assessment on arrival to the unit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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