A nurse is providing teaching to a client who is to undergo a cardiac catheterization. Which of the following findings is expected during the procedure?

Increased salivation

Headache

Sensation of skin warmth

Numbness and tingling of the extremities

Answer and Explanation

The Correct Answer is C

Rationale:

A. Increased salivation: Increased salivation is not an expected effect of cardiac catheterization. It may indicate a reaction to medication or anxiety but is not directly associated with the procedure.

B. Headache: While headaches can occur with some cardiac medications or contrast agents, they are not typical or expected during catheterization itself. Persistent headaches should be reported and evaluated further.

C. Sensation of skin warmth: A warm or flushed sensation is a common and expected finding during cardiac catheterization due to the injection of contrast dye. Patients are typically informed in advance to reduce alarm.

D. Numbness and tingling of the extremities: These sensations may suggest compromised circulation or nerve involvement, which is not expected and should be promptly reported. It could indicate a complication from arterial access.

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Correct Answer is B

Explanation

Rationale:

A. Disenfranchised: Disenfranchised grief occurs when the person's mourning is not socially recognized or supported, such as grieving an ex-partner or a stigmatized relationship. In this scenario, the grief is acknowledged and expected, making this option less appropriate.

B. Anticipatory: Anticipatory grief happens when individuals begin mourning a loss before it occurs, as in terminal illness. The family member’s struggle with “letting her go” reflects emotional processing of an expected death before it happens.

C. Delayed: Delayed grief is a postponed emotional response to a loss, often surfacing long after the event. Since the family member is currently expressing emotional difficulty, this is not an example of delayed grief.

D. Exaggerated: Exaggerated grief is intense, overwhelming, and can impair functioning. It may include suicidal ideation or severe depression. The statement indicates sadness and difficulty coping, but not extreme or dysfunctional symptoms.

A. The client is tolerating clear liquids. B. The client is voiding at least 250 mL/hr. C. The client is maintaining bed rest. D. The client is consuming 1.000 calories daily.

Correct Answer is A

Explanation

Rationale:

A. The client is tolerating clear liquids: After gastric banding, clients typically start with clear liquids within the first 24–48 hours. Tolerating clear liquids at 36 hours post-op is an expected and desired outcome that indicates gastrointestinal recovery and readiness to progress the diet gradually.

B. The client is voiding at least 250 mL/hr: This urine output is abnormally high and could indicate diuresis or overhydration. The expected minimum urine output is around 30 mL/hr, so this value exceeds normal expectations and is not typical postoperatively.

C. The client is maintaining bed rest: Early ambulation is encouraged after bariatric procedures to prevent complications such as deep vein thrombosis or pulmonary embolism. Prolonged bed rest is not expected or recommended.

D. The client is consuming 1,000 calories daily: At 36 hours post-op, clients are still on a very restricted intake—usually clear liquids or small sips—and would not be consuming 1,000 calories. This intake would be excessive and inappropriate at this stage of recovery.

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A nurse is providing teaching to a client who is to undergo a cardiac catheterization. Which of the following findings is expected during the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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