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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Positioning the knees higher than the hips could increase the risk of hip dislocation.
B. Keeping an abduction pillow between the legs helps maintain the hip in the correct position and prevents dislocation.
C. Raising the head of the bed to a high-Fowler’s position may strain the hip and is not recommended for dislocation prevention.
D. Elevating the affected leg on a pillow may cause internal rotation and increase the risk of dislocation.
Correct Answer is B
Explanation
A. Identifying a sour taste tests cranial nerves VII (facial) and IX (glossopharyngeal).
B. Cranial nerve XI (the spinal accessory nerve) controls the muscles involved in shoulder shrugging and head turning.
C. Frowning symmetrically assesses the facial nerve (VII).
D. Sticking out the tongue assesses the hypoglossal nerve (XII).
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