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.

Obtain a CBC with differential.

Transport the client to radiology for a CT scan.

Administer nitroglycerin 0.4 mg SL 30 min before the procedure.

Answer and Explanation

The Correct Answer is B

The correct answer is choice b. Obtain a CBC with differential.

Choice A rationale:

Drawing blood specimens for culture and sensitivity is not typically required before a cardiac catheterization unless there is a specific concern about infection.

Choice B rationale:

Obtaining a CBC with differential is important to assess the client’s overall health and detect any potential issues such as anemia or infection that could complicate the procedure.

Choice C rationale:

Transporting the client to radiology for a CT scan is not a standard pre-procedure task for cardiac catheterization. This might be necessary if there are specific indications, but it is not routine.

Choice D rationale:

Administering nitroglycerin 0.4 mg SL 30 minutes before the procedure is not a standard practice for preparing a client for cardiac catheterization. Nitroglycerin is typically used to manage chest pain or angina, not as a pre-procedure medication.

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Correct Answer is ["A","E"]

Explanation

Choice A rationale:
Contractures are a risk for this client due to the lack of movement and constant positioning on one side. Contractures occur when the muscles, tendons, or ligaments shorten and tighten, limiting range of motion and flexibility. This can be a result of prolonged immobility or lack of use of the muscles.
Choice B rationale:
Calcium resorption is not a risk for this client. Calcium resorption refers to the process where bone tissue is broken down and calcium is released into the bloodstream. This process is not directly related to immobility or multiple sclerosis.
Choice C rationale:
Hypocalcemia, or low calcium levels in the blood, is also not a direct risk for this client. While immobility can lead to bone loss over time, it does not directly cause hypocalcemia.
Choice D rationale:
Diarrhea is not a risk for this client based on the information provided. Diarrhea can be a symptom of many conditions but there is no indication in the scenario that this client is at risk.
Choice E rationale:
Urinary stasis is a risk for this client due to their immobility. When a person is immobile, urine can pool in the bladder, creating an environment where bacteria can grow, potentially leading to urinary tract infections.

A. Tie a tourniquet around the leg distal to the wound. B. Irrigate the wound with sterile water. C. Apply direct pressure to the wound with thick dressing material. D. Apply a transparent dressing to the wound.

Correct Answer is C

Explanation

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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

Correct Answer is ["A","E"]

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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?