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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Annual Influenza immunization is important for individuals with chronic bronchitis but does not directly prevent the disorder from occurring. It helps reduce respiratory infections, which can exacerbate symptoms.
B. Regular moderate exercise improves overall lung function but does not specifically prevent chronic bronchitis.
C. Smoking cessation is the most effective measure in preventing chronic bronchitis. Chronic bronchitis is strongly linked to long-term cigarette smoking, which causes inflammation and excessive mucus production in the airways.
D. Maintenance of ideal weight supports overall health but is not a primary factor in preventing chronic bronchitis.

A. Encouraging the client to drink 2 to 3 L of water daily B. Maintaining a semi-Fowler's position as often as possible C. Administering oxygen via nasal cannula at 2 L/min D. Helping the client select a low-salt diet

Correct Answer is A

Explanation

A. Adequate hydration helps thin mucus secretions, making them easier to expectorate. Drinking 2 to 3 L of water daily is recommended unless contraindicated by another condition.
B. Semi-Fowler's position can help with breathing but does not directly aid in thinning secretions.
C. Oxygen therapy helps with oxygenation but does not address thick mucus.
D. A low-salt diet may be beneficial for overall health but does not directly impact mucus consistency.

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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?

Nursing Test Bank

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