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 D

Explanation

A. "I had to retire because my boss didn't like me.": Indicates projection, attributing personal feelings to someone else.

B. "There were lay-offs at my company, so I journaled about what I accomplished during my career.": Indicates positive coping, not compensation.

C. "I'm so glad I've retired because the work was making me sick and depressed.": Indicates rationalization, justifying the situation.

D. "Since I retired, I have entered many gardening competitions.": The client is compensating for the loss of work-related identity by engaging in competitive gardening, a constructive coping strategy.

A. Place the client's soiled bed linens in a biohazard bag outside the client's room. B. Discard the radioactive source in the client's trash can. C. Wear an isolation gown when caring for the client. D. Keep visitors at least 6 feet (1.8 m) away from the client.

Correct Answer is D

Explanation

A. Soiled linens can be handled with standard precautions, and radioactive materials are typically not present in linens unless they are contaminated.

B. The radioactive source should not be discarded in the trash; it must be handled according to specific safety protocols.

C. An isolation gown is not necessary unless direct contact with the radioactive source is anticipated.

D. Keeping visitors at least 6 feet away is a precaution to limit exposure to radiation from the brachytherapy source.

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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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