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.
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Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Explanation
The client has dark red vaginal bleeding and low hemoglobin (8.1 g/dL) and hematocrit (24%), which indicate significant blood loss.
The low blood pressure (95/62 mm Hg) and tachycardia (104 bpm) are signs of the body's response to blood loss, which can lead to hypovolemic shock.
Correct Answer is B
Explanation
A. A chest x-ray is important to assess pneumonia but is not the priority when chest pain suggesting a cardiac event is present.
B. A 12-lead ECG is the priority to assess for myocardial ischemia or infarction, given the client’s description of chest pain.
C. Serum potassium is important for cardiac health but not the immediate priority in this scenario.
D. PT and INR are relevant for coagulation but do not address the immediate concern of potential myocardial infarction.
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