The nurse is caring for a client after a heart catheterization. What complication must the nurse intervene for immediately?

2+ bilateral peripheral edema

Heart rate 59 beats/min

Temperature of 96 F

Muffled heart sounds

Answer and Explanation

The Correct Answer is D

A. Bilateral peripheral edema can occur after heart catheterization but is not as immediately life-threatening as cardiac tamponade.

B. A heart rate of 59 beats/min may be concerning, but bradycardia alone is not as immediately urgent as signs of cardiac tamponade.

C. A temperature of 96°F is low, but this is more of a concern for hypothermia or post-procedural effects and is not as urgent as muffled heart sounds indicating tamponade.

D. Muffled heart sounds can indicate cardiac tamponade, a medical emergency. Immediate intervention is required to relieve the pressure on the heart, which may involve pericardiocentesis to drain the fluid or blood.

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Correct Answer is D

Explanation

A. Testicular torsion: While testicular torsion is an emergency and can cause pain and damage, it is not directly linked to testicular cancer risk.

B. Sexually transmitted infections: Although STIs can affect reproductive health, they are not a known significant risk factor for testicular cancer.

C. Testicular trauma: Testicular trauma may cause injury but is not a major risk factor for testicular cancer.

D. Undescended testicles: This is the correct answer. Undescended testicles, or cryptorchidism, is a well-established risk factor for testicular cancer, as it increases the likelihood of developing the condition.

A. A client with multiple abdominal drains B. A client with right leg cellulitis C. A client who has viral pneumonia D. A client with chronic heart failure

Correct Answer is D

Explanation

A. Multiple abdominal drains increase infection risk.

B. Cellulitis poses a high risk of infection.

C. Viral pneumonia is contagious and poses a high infection risk.

D. Chronic heart failure does not pose an infection risk, making this the safest roommate choice.

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The nurse is caring for a client after a heart catheterization. What complication must the nurse intervene for immediately?

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