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 C
Explanation
Rationale:
A. Inject into the vastus lateralis: The preferred injection sites for insulin are subcutaneous areas such as the abdomen, upper arms, thighs, or buttocks. The vastus lateralis is used for intramuscular injections, not subcutaneous insulin administration.
B. Roll the syringe gently to ensure mixture of the insulins: Only the NPH (cloudy) insulin should be rolled gently between the hands to mix it evenly before drawing it up. The syringe itself should not be rolled after both insulins are inside, as this may affect accuracy.
C. Draw up regular insulin prior to NPH insulin: When mixing insulins, regular (clear) insulin should be drawn up first to avoid contaminating the vial of regular insulin with the cloudy NPH insulin, which could alter its action and absorption.
D. Use a 15 angle for the injection: Insulin is administered subcutaneously using a 45- to 90-degree angle, depending on the client’s body habitus. A 15-degree angle is too shallow and is used for intradermal injections, not subcutaneous ones.
Correct Answer is D
Explanation
Rationale:
A. Encourage physical activity prior to bedtime: Stimulating activity close to bedtime can increase agitation and make it harder for clients with Alzheimer’s disease to settle for sleep. Calming routines in the evening are more appropriate to reduce nighttime confusion and restlessness.
B. Wear clothing with zippers instead of buttons: Although zippers are often easier than buttons, clients with Alzheimer’s may have difficulty with any fasteners. Simple clothing with Velcro or elastic waists is typically more suitable to promote independence.
C. Replace the carpet with hardwood floors: Carpets provide traction and cushioning, which can help prevent injuries from falls. Hardwood floors may be slippery or cause confusion due to glare or unfamiliar patterns, increasing fall risk.
D. Place locks at the tops of exterior doors: Clients with Alzheimer’s are at risk for wandering. Installing locks at the tops of doors—out of the client's usual line of sight—helps prevent elopement while preserving safety in the home environment.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
