A nurse is caring for a patient immediately following a cardiac catheterization with a femoral artery approach. Which action should the nurse take?

Remind the patient not to turn from side to side.

Keep the patient in a high-Fowler’s position for 6 hours.

Perform passive range-of-motion for the affected extremity.

Check pedal pulses every 15 minutes.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

It is not necessary to remind a patient to avoid turning from side to side after femoral artery catheterization. Restricting movement in this way could actually increase the risk of complications such as deep vein thrombosis (DVT).

Early ambulation is generally encouraged to promote circulation and prevent blood clots.

Patients are typically allowed to turn and reposition themselves as needed for comfort, unless there are specific contraindications.

Choice B rationale:

Keeping the patient in a high-Fowler's position for 6 hours is not a standard recommendation following femoral artery catheterization.

The patient's position should be based on their individual needs and comfort level.

In some cases, a slight elevation of the head of the bed may be helpful to promote venous return, but prolonged high-Fowler's positioning is not necessary.

Choice C rationale:

Passive range-of-motion exercises are not typically performed on the affected extremity immediately following femoral artery catheterization.

This is because there is a risk of dislodging the catheter or causing bleeding at the puncture site.

Once the catheter has been removed and the puncture site has healed, gentle range-of-motion exercises may be recommended to help maintain joint mobility.

Choice D rationale:

Checking pedal pulses every 15 minutes is essential to assess for adequate circulation to the lower extremities following femoral artery catheterization.

This is because there is a risk of complications such as thrombosis or embolism, which can compromise blood flow to the legs and feet.

If the pedal pulses are weak or absent, it could indicate a serious problem that requires immediate intervention.

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Correct Answer is ["50"]

Explanation

Here are the steps to calculate the gtt/min for the manual IV infusion:

Step 1: Convert the infusion time from hours to minutes. 8 hours x 60 minutes/hour = 480 minutes

Step 2: Divide the total volume of fluid (in mL) by the infusion time in minutes to get the mL/min rate. 400 mL ÷ 480 minutes = 0.8333 mL/min

Step 3: Multiply the mL/min rate by the drop factor (gtt/mL) to get the gtt/min rate. 0.8333 mL/min x 60 gtt/mL = 50 gtt/min

Therefore, the nurse should set the manual IV infusion to deliver 50 gtt/min.

A. Recap needles and place them in a wastebasket. B. Do not recap the needle on an ABG specimen. C. Place uncapped needles in a puncture-proof container after use. D. Break needles in half before putting them in the sharps disposal box.

Correct Answer is C

Explanation

Choice A rationale:

Recapping needles is a dangerous practice that significantly increases the risk of needlestick injuries.

The act of recapping involves directing the sharp end of the needle towards one's hand, creating a high likelihood of accidental puncture.

Even experienced healthcare professionals are susceptible to needlestick injuries during recapping.

Wastebaskets are not designed for the safe disposal of sharps and can easily be punctured, leading to potential exposure to bloodborne pathogens.

Choice B rationale:

While it is true that needles should not be recapped on ABG specimens, this option does not address the broader issue of safe needle disposal in general.

Focusing solely on ABG specimens could lead to the misconception that recapping is acceptable for other types of needles.

Choice D rationale:

Breaking needles in half is not recommended as a standard practice for needle disposal.

This action can create sharp fragments that are difficult to handle and can still cause injuries.

Sharps disposal containers are designed to safely contain intact needles and should be used as the primary method of disposal.

Choice C rationale:

Placing uncapped needles directly into a puncture-proof container is the safest and most recommended practice for needle disposal.

These containers are specifically designed to prevent needlestick injuries by shielding the sharps from accidental contact. They are typically made of hard plastic or metal and are clearly labeled for biohazard waste.

Using puncture-proof containers consistently for all needle disposal significantly reduces the risk of needlestick injuries among healthcare workers.

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A nurse is caring for a patient immediately following a cardiac catheterization with a femoral artery approach. Which action should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer 400 mL of 0.9% sodium chloride IV over 8 hours. The drop factor of the manual IV tubing is 60 gtt/mL. How many gtt/min should the nurse set the manual IV infusion to deliver? (Input your answer into the blank space, without any units. Numerical value only.)

Correct Answer is ["50"]

Explanation

A nurse is reinforcing teaching with a group of newly licensed nurses about preventing needlestick injuries. Which of the following actions should the nurse recommend?

Correct Answer is C

Explanation

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