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 ["A","B","D"]

Explanation

Rationale:

A. The client slept 5 hr the previous night: Restorative sleep reflects stabilization in manic episodes, where insomnia is a key symptom. Sleeping for five hours is a significant improvement, indicating reduced hyperactivity and improved mood regulation.

B. The client consumes 8 oz of high-calorie fluids each hour: Adequate nutritional intake and hydration are often compromised in mania due to distractibility and hyperactivity. Regular consumption of fluids shows enhanced attention, cooperation, and reduced psychomotor agitation.

C. The client takes short naps during the day: Napping during the day may actually signal persistent hyperactivity or fragmented sleep cycles. Restful, consolidated nighttime sleep is a better indicator of clinical improvement than sporadic daytime naps.

D. The client engages in quiet activities in their room: Participation in low-stimulation activities reflects improved impulse control, attention span, and reduced need for excessive stimulation positive signs of response to lithium and therapeutic interventions.

E. The client appears to listen to unseen others: Persistent auditory hallucinations suggest ongoing psychotic features. Although lithium can reduce mood-related psychosis, hallucinations at this stage indicate incomplete resolution of manic or psychotic symptoms.

A. Ask the client if they would prefer a translator who is the same gender. B. Use a website with a ".com" URL to translate for the client. C. Request a family member of the client to translate. D. Ask a nursing student who speaks the same language as the client to translate.

Correct Answer is A

Explanation

Rationale:

A. Ask the client if they would prefer a translator who is the same gender: Offering a professional interpreter of the same gender, when possible, shows cultural sensitivity and promotes client comfort and openness, especially for intimate or personal health discussions.

B. Use a website with a ".com" URL to translate for the client: Websites, especially commercial ones, may be inaccurate or unreliable for medical translation. Miscommunication through these tools can result in errors and compromise client safety.

C. Request a family member of the client to translate: Family members may unintentionally alter or filter information, leading to errors or withholding of critical health data. It also poses confidentiality concerns and is not considered a best practice.

D. Ask a nursing student who speaks the same language as the client to translate: Unless the student is a certified medical interpreter, this action is inappropriate. Medical interpretation requires training to ensure accurate, unbiased communication that upholds privacy and safety.

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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

The nurse is continuing to care for the client. Exhibits The nurse is assessing the client. Which of the following findings indicate an improvement in the client's condition? Select all that apply.

Correct Answer is ["A","B","D"]

Explanation

A nurse is caring for a client who speaks a different language than the nurse. Which of the following actions should the nurse take when communicating with the client?

Correct Answer is A

Explanation

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