A nurse is preparing a client to undergo a cardiac catheterization. Which of the following tasks should the nurse perform prior to the procedure?

Draw blood specimens for culture and sensitivity.

Administer nitroglycerin 0.4 mg SL 30 min before the procedure.

Obtain a CBC with differential.

Transport the client to radiology for a CT scan.

Answer and Explanation

The Correct Answer is C

A. Draw blood specimens for culture and sensitivity: Incorrect. Blood cultures are not routinely required for cardiac catheterization.

B. Administer nitroglycerin 0.4 mg SL 30 min before the procedure: Incorrect. Nitroglycerin is not typically administered before a cardiac catheterization unless specifically ordered.

C. Obtain a CBC with differential: A complete blood count (CBC) is necessary before a cardiac catheterization to assess for potential bleeding risks, infection, or anemia.

D. Transport the client to radiology for a CT scan: Incorrect. Cardiac catheterization is performed in a specialized cardiac catheterization lab, not in radiology.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

Pain Medication:

Fractures are painful, and pain management is essential for the child’s comfort and to prevent complications related to inadequate pain control.

Limb Immobilization:

Immobilization of the fractured arm (e.g., with a splint or cast) is necessary to promote proper alignment and healing of the nondisplaced fracture of the radius and ulna.

Incorrect Options:

Antibiotics: There is no indication of infection, such as an open fracture or systemic signs of infection, which would require antibiotics.

Surgical Consultation: A nondisplaced fracture typically does not require surgical intervention. Conservative treatment with immobilization is sufficient.

Bed Rest: This is not necessary for an isolated arm fracture, as the child can remain mobile.

A. "Using this machine increases my risk of overdose." B. "I can get pain medication any time as long as I press the button." C. "I will receive a limited amount of pain medication when I press the button." D. "My partner can press my pain medication button for me if I am sleeping."

Correct Answer is C

Explanation

A. The risk of overdose is minimized by the device's programming.

B. The medication is limited based on a preset dose and frequency.

C. PCA pumps deliver a controlled dose of medication, preventing overdose by limiting the amount dispensed.

D. Only the client should press the button to ensure safety.

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A nurse is preparing a client to undergo a cardiac catheterization. Which of the following tasks should the nurse perform prior to the procedure?

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Naxlex Comprehensive Predictor Exams

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Explanation

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