The nurse is teaching a client with atrial flutter who is scheduled for a catheter ablation? What should the nurse include in the teaching plan?
The procedure stimulates the growth of new pathways between the atria
The procedure uses cold therapy to stop the formation of the flutter waves
The procedure prevents or minimizes the patient's risk for sudden cardiac death
The procedure uses electrical energy to destroy areas of the conduction system
The Correct Answer is D
The procedure uses electrical energy to destroy areas of the conduction system: Catheter ablation is a minimally invasive procedure performed to treat abnormal heart rhythms, such as atrial flutter. During the procedure, a catheter is inserted into the heart and used to deliver electrical energy to specific areas of the heart tissue. This energy is used to destroy or ablate the abnormal conduction pathways that are causing the atrial flutter.
Let's go through the other options and explain why they are not accurate:
The procedure stimulates the growth of new pathways between the atria: Catheter ablation does not stimulate the growth of new pathways. Instead, it aims to eliminate or modify existing abnormal pathways in the heart to restore normal electrical conduction.
The procedure uses cold therapy to stop the formation of the flutter waves: Catheter ablation does not use cold therapy. It primarily utilizes radiofrequency energy or other sources of heat to ablate the targeted areas of the heart tissue.
The procedure prevents or minimizes the patient's risk for sudden cardiac death: While catheter ablation can be an effective treatment for certain arrhythmias, including atrial flutter, it is not primarily performed to prevent or minimize the risk of sudden cardiac death. Its main purpose is to restore normal heart rhythm and alleviate symptoms associated with the arrhythmia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The most appropriate intervention for a client diagnosed with peripheral arterial insufficiency is: Encourage the client to engage in a moderate amount of exercise. Peripheral arterial insufficiency is a condition characterized by reduced blood flow to the extremities, typically the legs, due to narrowed or blocked arteries. Regular exercise is an important component of managing peripheral arterial insufficiency. Exercise helps improve circulation, promote collateral blood vessel development, and increase the distance a client can walk before experiencing pain (intermittent claudication). Therefore, encouraging the client to engage in a moderate amount of exercise, such as walking, under healthcare provider guidance is crucial.]
The other options are not appropriate interventions for peripheral arterial insufficiency:
Elevating the legs and arms above the heart when resting: While elevation can be beneficial for certain conditions, such as reducing swelling in venous insufficiency, it is not the primary intervention for peripheral arterial insufficiency. Elevation alone does not improve arterial blood flow and may not effectively address the underlying circulatory issues.
Encouraging extended periods of sitting or standing: Prolonged sitting or standing can further restrict blood flow and exacerbate symptoms in clients with peripheral arterial insufficiency. Encouraging regular movement and avoiding prolonged immobility is important to maintain adequate circulation.
Discouraging walking in order to limit pain: While walking may cause pain or discomfort in clients with peripheral arterial insufficiency (intermittent claudication), it is important to encourage walking as part of an exercise regimen. Walking helps improve symptoms over time and promotes overall cardiovascular health.
Correct Answer is ["A","B","C","D"]
Explanation
Assess pulse of the affected extremity every 15 minutes at first: Frequent assessment of the pulse in the affected extremity is important to monitor for any changes in blood flow. This allows the nurse to identify any potential complications such as graft occlusion or compromised circulation promptly.
Palpate the affected leg for pain during every assessment: Assessing for pain in the affected leg is crucial to identify any signs of ischemia or inadequate perfusion. Increased pain could indicate reduced blood flow or other complications that require immediate attention.
Assess the client for signs and symptoms of compartment syndrome every 2 hours: Compartment syndrome can occur after vascular surgeries, and early recognition is vital. The nurse should assess for signs and symptoms such as pain, numbness, tingling, increased swelling, and tense compartments. Regular assessment every 2 hours can help detect compartment syndrome promptly and prevent further complications.
Perform Doppler evaluation once daily: Doppler evaluation may be ordered by the healthcare provider to assess blood flow and graft patency. However, the frequency of Doppler evaluation may vary depending on the client's condition and the healthcare provider's orders. Once daily assessment is not sufficient if there are concerns regarding blood flow or graft viability.
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