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. 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.

A. Mix potassium in 1 liter of normal saline. B. Call the physician for order clarification. C. Prepare 20 mEq of Potassium to give IV push. D. Give the medication as ordered.

Correct Answer is B

Explanation

A. While potassium is typically diluted in IV fluids, the concentration and infusion rate must be clarified before administration. A standard dilution is 10 mEq in 100 mL or 40 mEq in 1L, but this must be verified.
B. Calling the physician for clarification is the safest step. IV potassium should never be given undiluted or as an IV push due to the risk of fatal cardiac arrhythmias.
C. IV push potassium is never appropriate as it can cause cardiac arrest.
D. Administering the undiluted 20 mEq/mL solution is dangerous and requires proper dilution before administration.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with an acute myocardial infarction (AMI). The nurse is preparing medications for the client and recognizes that which medication will dilate the client’s coronary blood vessels?

Correct Answer is A

Explanation

A nurse is caring for a client who is ordered Potassium 40 mEq IV. On hand is Potassium Chloride 20 mEq/mL. What is the nurse’s next action?

Correct Answer is B

Explanation

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