A nurse is caring for a patient who has undergone an angiogram.

What should the nurse prioritize in assessing and documenting for this patient?

Inquiring about an allergy to iodine.

Checking peripheral pulses in the affected leg.

Monitoring for decreased blood pressure.

Tracking fluid intake.

Answer and Explanation

The Correct Answer is B

Choice A rationale
While it’s important to inquire about an allergy to iodine in a patient who has undergone an angiogram, it’s not typically the priority for assessing and documenting for this patient after the procedure. An allergy to iodine would be more relevant before the procedure, as iodine-based contrast dye is often used during an angiogram.
Choice B rationale
Checking peripheral pulses in the affected leg is typically a priority when caring for a patient who has undergone an angiogram. This is because the procedure involves inserting a catheter into a blood vessel in the leg. Checking the peripheral pulses can help assess for potential complications such as a blood clot or decreased blood flow to the leg.
Choice C rationale
Monitoring for decreased blood pressure is important in a patient who has undergone an angiogram, but it’s not typically the priority for assessing and documenting for this patient after the procedure. While changes in blood pressure can occur after any medical procedure, other assessments such as checking peripheral pulses in the affected leg are typically more directly related to potential complications of an angiogram.
Choice D rationale
Tracking fluid intake is an important part of overall patient care, but it’s not typically the priority for assessing and documenting for a patient who has undergone an angiogram. Other assessments such as checking peripheral pulses in the affected leg are typically more directly related to potential complications of an angiogram.

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Correct Answer is A

Explanation

Furosemide (Lasix) is a diuretic medication used to treat hypertension and edema. One of the side effects of furosemide is hypokalemia, or low potassium levels. A serum potassium level of 3.0 mEq/L is lower than the normal range (3.5 to 5.0 mEq/L), which can lead to serious complications such as cardiac arrhythmias.

Therefore, this observation is crucial to communicate to the healthcare provider.

A. Patient requires Metoprolol (Lopresor) STAT B. Patient requires Norepinephrine to maintain a mean arterial pressure (MAP) greater than 65 mmHg despite fluid replacement C. Serum lactate less than 2 mmol/L D. Blood pressure of 70/34 after the fluid bolus

Correct Answer is ["B","D"]

Explanation

Choice A rationale
The need for Metoprolol (Lopresor) STAT does not necessarily indicate progression to septic shock. Metoprolol is a beta-blocker used to treat high blood pressure, heart failure, and angina. While it may be used in the management of sepsis to control heart rate, its use does not specifically indicate progression to septic shock.
Choice B rationale
The need for Norepinephrine to maintain a mean arterial pressure (MAP) greater than 65 mmHg despite fluid replacement is a strong indicator of septic shock. Norepinephrine is a vasopressor, a type of medication used to increase blood pressure. In septic shock, vasopressors are often required to maintain adequate blood pressure and organ perfusion despite aggressive fluid resuscitation.
Choice C rationale
A serum lactate level less than 2 mmol/L is generally not indicative of septic shock. Elevated lactate levels can indicate tissue hypoperfusion, a condition that may occur in septic shock. However, a level less than 2 mmol/L is typically considered within the normal range.
Choice D rationale
A blood pressure of 70/34 after the fluid bolus could indicate progression to septic shock. In septic shock, despite aggressive fluid resuscitation, blood pressure often remains dangerously low, which can lead to inadequate blood flow to the organs.

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A nurse is caring for a patient who has undergone an angiogram. What should the nurse prioritize in assessing and documenting for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In the context of a patient undergoing IV furosemide (Lasix) treatment for hypertension, which observation is most crucial to communicate to the healthcare provider?

Correct Answer is A

Explanation

Correct Answer is ["B","D"]

Explanation

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A nurse is caring for a patient who has undergone an angiogram.

What should the nurse prioritize in assessing and documenting for this patient?