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 ["B","C","D"]

Explanation

A. A high-calcium diet does not contribute to DVT development. DVT risk factors are related to venous stasis, hypercoagulability, and endothelial damage.
B. Prolonged bed rest leads to venous stasis, increasing the risk of clot formation.
C. Post-operative clients are at higher risk for DVT due to immobility and surgical trauma, which can activate clotting mechanisms.
D. Oral contraceptive use increases the risk of DVT due to hormonal effects that promote clot formation.
E. A low BMI is not a risk factor for DVT. In contrast, obesity is a recognized risk factor due to increased venous pressure and inflammation.

A. Prolonged PR interval B. Presence of a U wave C. Peaked T waves D. Elevated ST segment

Correct Answer is C

Explanation

A. A prolonged PR interval can be seen in hyperkalemia but is not as characteristic as peaked T waves.
B. A U wave is typically seen in hypokalemia, not hyperkalemia.
C. Peaked T waves are a hallmark ECG finding in hyperkalemia and occur due to increased repolarization speed.
D. ST segment elevation is more commonly associated with myocardial infarction rather than hyperkalemia.

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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

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