The nurse is caring for a diabetic client who had a Coronary Angiography two hours ago. Which of the following orders should the nurse question?
Have client lay in bed flat for 4 hours
Monitor site for bleeding and hematoma formation
Administer metformin
Administer Aspirin
The Correct Answer is C
A. Having the client lay flat for 4 hours is appropriate. After coronary angiography, bed rest is required to prevent bleeding from the arterial puncture site, especially if a femoral approach was used.
B. Monitoring the site for bleeding and hematoma formation is correct. Bleeding is a potential complication, and frequent assessment of the catheter insertion site is necessary.
C. Administering metformin should be questioned. Metformin is contraindicated within 48 hours of receiving contrast dye because of the risk of lactic acidosis, especially in clients with impaired renal function.
D. Administering aspirin is appropriate. Aspirin is commonly prescribed to prevent clot formation after a coronary procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Weight loss is not a common side effect of prednisone. Instead, prednisone often causes weight gain due to fluid retention and increased appetite.
B. Dry mouth can occur with prednisone use, although it is less common than other side effects.
C. Hyperglycemia is a common side effect. Corticosteroids like prednisone can increase blood glucose levels, which is particularly concerning for clients with diabetes.
D. Decreased wound healing is a known side effect. Prednisone suppresses the immune system and inflammatory response, leading to delayed tissue repair.
Correct Answer is A
Explanation
A. Alcohol relaxes throat muscles, worsening obstructive sleep apnea (OSA). The client should be educated to avoid alcohol, even while using a CPAP machine.
B. CPAP improves sleep quality and reduces daytime sleepiness, making this statement accurate.
C. Weight loss can reduce the severity of OSA, and some clients may no longer need treatment after significant weight loss.
D. The CPAP machine functions by delivering continuous air pressure to keep the airway open, which is a correct statement.
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