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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. "Let's discuss some weight loss strategies that might work for you.": While well-intentioned, this response shifts focus prematurely to problem-solving rather than acknowledging the client's immediate emotional distress. It can come across as dismissive of the client's feelings and reinforce stigma.
B. "Have you always felt uncomfortable being overweight?": This question delves into the client's history without first validating their current emotional state. It may seem intrusive and bypasses the opportunity to provide empathy in the moment.
C. "How long have you struggled with your weight?": This response centers on the weight issue rather than addressing the client’s expressed feelings of being stared at and judged. It risks making the client feel pathologized rather than supported.
D. “It sounds like you're saying that you feel uncomfortable around others.”: This therapeutic response reflects the client's feelings, validates their emotional experience, and encourages further expression. It helps build trust and demonstrates empathy without judgment.
Correct Answer is ["A","C","D"]
Explanation
Rationale:
A. "You should eat foods high in protein." Protein is essential for tissue repair and healing, especially after pancreatitis. A diet rich in protein supports recovery and helps maintain muscle mass and immune function.
B. “Limit alcohol intake to no more than one drink per day." Alcohol is a major risk factor for pancreatitis; complete abstinence is necessary to prevent recurrence. Advising to limit intake rather than abstain may lead to misunderstanding and increased risk.
C. "Notify your provider if you experience vomiting or diarrhea." Vomiting and diarrhea may indicate complications such as worsening pancreatitis, infection, or intolerance to diet changes. Early reporting can prevent severe dehydration and further complications.
D. "You should eat foods that are low in fat." Low-fat foods reduce pancreatic stimulation, which is crucial in managing pancreatitis. Consuming high-fat foods can exacerbate symptoms and prolong inflammation.
E. “You can drink beverages that contain caffeine." Caffeine can irritate the gastrointestinal tract and may worsen symptoms in pancreatitis. One should limit or avoid caffeine during recovery.
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