A nurse is reinforcing instructions with a client who is scheduled for a cardiac catheterization with angiography. Which of the following statements should the nurse include in the instructions?

"You should expect to feel some tingling in the affected limb the day following the procedure."

"You might be asked to perform mild exercises during the procedure."

"You should not eat or drink for 4 hr following the procedure."

"You might have to lie in bed for 6 hr after the procedure."

Answer and Explanation

The Correct Answer is D

A. "You should expect to feel some tingling in the affected limb the day following the procedure." Tingling in the limb could indicate nerve or circulatory problems and should be reported immediately. It is not a normal post-procedure expectation.

B. "You might be asked to perform mild exercises during the procedure." Clients are typically instructed to remain still during a cardiac catheterization to avoid complications at the insertion site. Mild exercises are not a part of the procedure.

C. "You should not eat or drink for 4 hr following the procedure." NPO (nothing by mouth) status is usually required before the procedure, not after. Clients are encouraged to drink fluids after the procedure to help flush the contrast dye from their system.

D. "You might have to lie in bed for 6 hr after the procedure." After a cardiac catheterization, especially with a femoral artery approach, clients may be required to remain on bed rest for 4-6 hours to prevent bleeding or complications at the catheter insertion site.

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Correct Answer is C

Explanation

A. Aim for a total cholesterol at 225 mg/dL. A total cholesterol level of 225 mg/dL is higher than the recommended target, which is typically less than 200 mg/dL. This is not an appropriate treatment goal.

B. Maintain blood pressure at less than 140/90 mm Hg. This is a reasonable goal for many clients with atherosclerosis. Keeping blood pressure below 140/90 mm Hg helps reduce the risk of further vascular damage.

C. Limit total fat intake to 50% of total daily calories. Limiting fat intake to 50% of total daily calories is excessive. The recommendation is usually around 25-35% of total daily calories from fat, with a focus on healthy fats.

D. Keep body mass index (BMI) above 30. A BMI above 30 is classified as obese, which is a risk factor for atherosclerosis. The goal is to reduce BMI to within a healthy range (18.5-24.9).

A. "I can eat frozen juice bars for a snack." B. "I can have a cola drink twice a day." C. "I will replace table salt with dried herbs." D. "Fresh fruits are good to include with meals."

Correct Answer is B

Explanation

A. "I can eat frozen juice bars for a snack." Frozen juice bars are generally low in sodium and are a healthy snack option for clients with hypertension. This choice is acceptable as long as they are made from 100% juice and do not contain added sugars or sodium.

B. "I can have a cola drink twice a day." Cola drinks contain caffeine, sugar, and sometimes sodium, which can increase blood pressure. Clients with hypertension should limit their intake of sugary or caffeinated drinks. This statement indicates a need for further teaching.

C. "I will replace table salt with dried herbs." Replacing table salt with dried herbs is a good practice to reduce sodium intake, which can help manage hypertension. This statement does not indicate a need for further teaching.

D. "Fresh fruits are good to include with meals." Fresh fruits are low in sodium and rich in potassium, which can help regulate blood pressure. This is a good dietary choice for clients with hypertension and does not indicate a need for further teaching.

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A nurse is reinforcing instructions with a client who is scheduled for a cardiac catheterization with angiography. Which of the following statements should the nurse include in the instructions?

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